Individual
LOWANNA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST III
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 324-7074
(706) 324-7073
Mailing address
751 VISTA DR, COLUMBUS, GA 31907-5246
(706) 568-7760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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