Individual
MARTINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12014 MICHIGAN ST, APT A, SEFFNER, FL 33584-6489
(813) 465-9736
Mailing address
12014 MICHIGAN STREET APT A, SEFFNER, FL 33584
(813) 465-9736
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
824668
FL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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