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1710523188
LISA MARIE RICHARDSON
TOLEDO, OH
NPI
1710523188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII.161942)
Enumeration Date
2019-11-20
Last Update Date
2020-08-04
Business Address
LISA MARIE RICHARDSON
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-841-7701
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Mailing Address
LISA MARIE RICHARDSON
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-841-7701
Copy
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