TRACY RICHARDSON

SHREVEPORT, LA
NPI1164934535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-25
Last Update Date2017-10-25
Business Address
TRACY RICHARDSON
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
Mailing Address
TRACY RICHARDSON
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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