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Individual

MS. TEHPHNA RACHELLE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, QMHP

Contact information

Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
4847 HUB ST, ZEPHYRHILLS, FL 33542-5511
(181) 377-0651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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