COREY L RICHARDSON

AMERICAN FALLS, ID
NPI1285962779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  IDAHO LCSW-28906)
Enumeration Date2009-11-23
Last Update Date2021-01-11
Business Address
COREY L RICHARDSON LCSW
745 REED ST
AMERICAN FALLS, ID 83211-1334
Phone number: 208-244-8771
Mailing Address
COREY L RICHARDSON LCSW
745 REED ST
AMERICAN FALLS, ID 83211-1334
Phone number: 208-244-8771
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