Individual
ELIZABETH RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S 12TH ST, WEIRTON, WV 26062-3312
(304) 919-3198
Mailing address
110 S 12TH ST, WEIRTON, WV 26062-3312
(304) 919-3198
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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