Individual
MISS MICHELLE ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2430
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2430
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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