Individual
ANGELLE ELAINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4600
(267) 350-4887
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4600
(267) 350-4887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004860
PA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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