Individual
MS. AUDRA L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 453-6800
Mailing address
109 PEABODY DR, STOW, MA 01775-1010
(774) 249-0632
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
07/03/2010
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