Individual
TERESA JESSICA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(718) 982-6982
(718) 982-6916
Mailing address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(718) 982-6982
(718) 982-6916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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