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Individual

MR. ANTONIO RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
106 BUSINESS PARK DR, DENHAM SPRINGS, LA 70726-7825
(888) 417-5250
(225) 341-8756
Mailing address
106 BUSINESS PARK DR, DENHAM SPRINGS, LA 70726-7825
(888) 417-5250
(225) 341-8756

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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