Individual
MR. MARK RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1532 CERRILLOS RD STE B, SANTA FE, NM 87505-3512
(505) 954-1365
Mailing address
1532 CERRILLOS RD STE B, SANTA FE, NM 87505-3512
(505) 954-1365
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
347759
NM
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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