Individual
KENIA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
530 NORTH MAIN STREET, PROVIDENCE, RI 02904
(401) 274-2500
Mailing address
530 NORTH MAIN STREET, PROVIDENCE, RI 02904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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