CLEM RICHARDSON

MILWAUKEE, WI
NPI1760516215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  14455132)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Mr. CLEM RICHARDSON BS
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-447-9890
Mailing Address
Mr. CLEM RICHARDSON BS
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-447-9890
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