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1639394448
TARA G. RICHARDSON
LIVONIA, MI
NPI
1639394448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801078068)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- TARA G. RICHARDSON
29865 6 MILE RD SUITE 112
LIVONIA, MI 48152-3673
Phone number: 734-522-0280
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Mailing Address
-- TARA G. RICHARDSON
8951 POSEY DR
WHITMORE LAKE, MI 48189-9479
Phone number: 734-651-2348
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