Individual
KHADIJAH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2664 S HARPER RD, CORINTH, MS 38834-6723
(662) 287-4055
Mailing address
2664 S HARPER RD, CORINTH, MS 38834-6723
(662) 287-4055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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