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1952743668
COREY JOHN RICHARDSON
HICKORY, NC
NPI
1952743668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 3417A)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
Mr. COREY JOHN RICHARDSON LCASA
211A S NC 127 HWY
HICKORY, NC 28602-3541
Phone number: 828-322-5915
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Mailing Address
Mr. COREY JOHN RICHARDSON LCASA
211A S NC 127 HWY
HICKORY, NC 28602-3541
Phone number: 828-322-5915
Copy
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