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Individual
MS. BRENDA SUE RICHARDSON
Active
Individual
MS. BRENDA SUE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAE/IECE, DI
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1478
CABINET FOR HLTH & FAMILY
KY
Enumeration date
03/19/2007
Last updated
05/06/2020
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