Individual
CONNIE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S CENTRAL AVE STE A, MARSHFIELD, WI 54449-4973
(715) 305-8689
Mailing address
611 W BLODGETT ST, MARSHFIELD, WI 54449-1952
(715) 305-8689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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