MARY RICHARDSON

FORT WAYNE, IN
NPI1962964064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22004744A)
Enumeration Date2019-04-05
Last Update Date2019-04-05
Business Address
MARY RICHARDSON MA CCC-SLP
5930 HALLOWELL PL
FORT WAYNE, IN 46815-6214
Phone number: 260-409-0687
Mailing Address
MARY RICHARDSON MA CCC-SLP
5930 HALLOWELL PL
FORT WAYNE, IN 46815-6214
Phone number: 260-409-0687
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