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1487035689
SAMANTHA RICHARDS
LOUISVILLE, KY
NPI
1487035689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3009440)
Enumeration Date
2015-06-12
Last Update Date
2022-01-27
Business Address
SAMANTHA RICHARDS
4123 DUTCHMANS LN STE 503
LOUISVILLE, KY 40207-4730
Phone number: 502-899-6220
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Mailing Address
SAMANTHA RICHARDS
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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