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Individual

AUTUMN LA RICHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S., NCSP

Contact information

Practice address
819 COLORADO DR, XENIA, OH 45385-4859
(937) 562-9048
Mailing address
140 SHAWNEE RUN, APARTMENT B, WEST CARROLLTON, OH 45449-3952
(440) 665-7217

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3125353
OH

Other

Enumeration date
03/16/2015
Last updated
03/16/2015
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