Individual
HOLLY E RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 E 100 NORTH RD, HERRICK, IL 62431-1259
(217) 994-1792
Mailing address
1039 E 100 NORTH RD, HERRICK, IL 62431-1259
(217) 994-1792
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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