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1407306582
JENNIFER RICHARD
RUSTON, LA
NPI
1407306582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-12
Last Update Date
2018-06-21
Business Address
JENNIFER RICHARD
903 LEWIS ST
RUSTON, LA 71270
Phone number: 318-237-1687
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Mailing Address
JENNIFER RICHARD
903 LEWIS ST
RUSTON, LA 71270-6117
Phone number: 318-237-1687
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