Individual
ANNLAYESE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4206 WYNFIELD PL, ENGLEWOOD, OH 45322-2646
(239) 287-4959
Mailing address
4206 WYNFIELD PL, ENGLEWOOD, OH 45322-2646
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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