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1144997065
DENISE W RICHARDSON
JACKSON, MS
NPI
1144997065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS P-0570)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
DENISE W RICHARDSON P-LPC
5422 CLINTON BLVD
JACKSON, MS 39209-3050
Phone number: 601-923-1645
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Mailing Address
DENISE W RICHARDSON P-LPC
3 AVERY CIR
JACKSON, MS 39211-2403
Phone number: 601-212-5682
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