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1750614525
GARY RICHARDSON
LUBBOCK, TX
NPI
1750614525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9073)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
Mr. GARY RICHARDSON LCDC
1705 N FM 179
LUBBOCK, TX 79416-9441
Phone number: 806-797-8003
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Mailing Address
Mr. GARY RICHARDSON LCDC
1705 N FM 179
LUBBOCK, TX 79416
Phone number: 806-797-8003
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