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1821129669
ROBERTO FERNANDO RICHARDSON
ELKHART, IN
NPI
1821129669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-03-07
Last Update Date
2009-07-10
Business Address
-- ROBERTO FERNANDO RICHARDSON MA
500 N NAPPANEE ST STE 4A
ELKHART, IN 46514-1502
Phone number: 574-522-8992
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Mailing Address
-- ROBERTO FERNANDO RICHARDSON MA
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3220
Phone number: 574-232-2255
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