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Individual

MRS. ALICE DAMARIS RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAC, LPC

Contact information

Practice address
12100 OLD HALLS FERRY RD, FLORISSANT, MO 63033-7112
(314) 791-6771
Mailing address
12100 OLD HALLS FERRY RD, FLORISSANT, MO 63033-7112
(314) 791-6771

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004032820
MO

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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