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1174537369
LARRY TYRONE RICHARDSON
JACKSONVILLE, FL
NPI
1174537369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH-1773)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Dr. LARRY TYRONE RICHARDSON Ph.D., LMHC
5379 LENOX AVE
JACKSONVILLE, FL 32205-4737
Phone number: 904-378-9955
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Mailing Address
Dr. LARRY TYRONE RICHARDSON Ph.D., LMHC
PO BOX 37206
JACKSONVILLE, FL 32236-7206
Phone number: 904-378-9955
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