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1205112448
JOHN MARK RICHARDSON
PERRY, IA
NPI
1205112448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 00575)
Enumeration Date
2011-11-02
Last Update Date
2011-11-02
Business Address
Mr. JOHN MARK RICHARDSON LISW
610 10TH ST
PERRY, IA 50220-2221
Phone number: 515-465-7541
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Mailing Address
Mr. JOHN MARK RICHARDSON LISW
927 8TH ST
BOONE, IA 50036-2969
Phone number: 515-432-7288
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