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1205510336
OLIVER BUREN RICHARDSON
LOUISVILLE, KY
NPI
1205510336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 289042)
Enumeration Date
2023-06-09
Last Update Date
2024-08-13
Business Address
OLIVER BUREN RICHARDSON LCADC, CSW
2604 S 4TH ST
LOUISVILLE, KY 40208-1530
Phone number: 502-436-3271
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Mailing Address
OLIVER BUREN RICHARDSON LCADC, CSW
102 LIMESTONE CT
SHEPHERDSVILLE, KY 40165-4602
Phone number: 502-337-2336
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