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1205127131
CONNIE JEAN RICHARDSON
VANCOUVER, WA
NPI
1205127131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
Mrs. CONNIE JEAN RICHARDSON
415 W 11TH ST
VANCOUVER, WA 98660-3147
Phone number: 360-699-2244
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Mailing Address
Mrs. CONNIE JEAN RICHARDSON
PO BOX 484
VANCOUVER, WA 98666-0484
Phone number:
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