Individual
MRS. AMANDA MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E CHIPPEWA ST, MT PLEASANT, MI 48858-1609
(989) 772-1261
Mailing address
124 BEACH CIR, LEROY, MI 49655-9410
(231) 388-3625
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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