Individual
LOLITA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CHADFORD RD, IRMO, SC 29063-2038
(803) 476-3831
Mailing address
1500 CHADFORD RD, IRMO, SC 29063-2038
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
187836
SC
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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