MARK S RICHMOND

DECATUR, IL
NPI1801043740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178-004997)
Enumeration Date2008-08-22
Last Update Date2008-08-22
Business Address
-- MARK S RICHMOND LPC
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Mailing Address
-- MARK S RICHMOND LPC
PO BOX 710
DECATUR, IL 62525-0710
Phone number: 217-362-6262
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