Individual
ALICIA N RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
1160 SW WILSHIRE BLVD, BURLESON, TX 76028-5719
(817) 245-1000
Mailing address
4205 LANARK AVE, FORT WORTH, TX 76109-5333
(817) 926-7733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16124
TX
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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