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1538732771
JESSICA RICHARDSON
KENOSHA, WI
NPI
1538732771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 5031-226)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
JESSICA RICHARDSON
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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Mailing Address
JESSICA RICHARDSON
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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