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1174023196
ANTONIO RICHARDSON
DENHAM SPRINGS, LA
NPI
1174023196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
Mr. ANTONIO RICHARDSON BA
106 BUSINESS PARK DR
DENHAM SPRINGS, LA 70726-7825
Phone number: 888-417-5250
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Mailing Address
Mr. ANTONIO RICHARDSON BA
106 BUSINESS PARK DR
DENHAM SPRINGS, LA 70726-7825
Phone number: 888-417-5250
Copy
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