Individual
MADELYN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4725
(225) 349-7960
(225) 612-6632
Mailing address
7533 HICKORY RIDGE DR, DENHAM SPRINGS, LA 70706-1940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011287087
LA
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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