MIKETRA A RICHARDSON

TUPELO, MS
NPI1245400258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
-- MIKETRA A RICHARDSON
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-844-1717
Mailing Address
-- MIKETRA A RICHARDSON
139 BROOKS DR
SHANNON, MS 38868-9508
Phone number: 662-447-0175