Individual
MARYSE H RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 N MICHIGAN AVE STE 1703, CHICAGO, IL 60602-3644
(312) 375-9555
Mailing address
3232 N KENMORE AVE # 2, CHICAGO, IL 60657-3307
(312) 375-9555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.003606
IL
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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