BRUCE WALTER RICHARDSON

CONYERS, GA
NPI1467514471
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
Mr. BRUCE WALTER RICHARDSON
977 TAYLOR ST SW # A
CONYERS, GA 30012-5357
Phone number: 770-785-5910
Mailing Address
Mr. BRUCE WALTER RICHARDSON
4705 TREEHILLS PKWY
STONE MOUNTAIN, GA 30088-3053
Phone number:
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