Individual
MS. GENA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 CLARK ST, GROVE HILL, AL 36451-3050
(251) 275-4165
Mailing address
P. O. BOX 759, GROVE HILL, AL 36541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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