Individual
BRENDA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(620) 331-1748
Mailing address
PO BOX 69, INDEPENDENCE, KS 67301-0069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
720
KS
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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