CLARISSA MARIE EDGE RICHARDSON

JACKSONVILLE, IL
NPI1649764713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IL  071.010899)
Enumeration Date2018-06-21
Last Update Date2023-06-26
Business Address
Dr. CLARISSA MARIE EDGE RICHARDSON Ph.D.
201 E MORGAN ST
JACKSONVILLE, IL 62650-2587
Phone number: 217-953-1343
Mailing Address
Dr. CLARISSA MARIE EDGE RICHARDSON Ph.D.
3975 LEACH RD
ROCHESTER, IL 62563-8061
Phone number: 217-953-1343
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