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Individual

MR. RALPH LYNN RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
150 S BROADWAY ST, BLACKFOOT, ID 83221-2711
(208) 785-1326
(208) 785-1396
Mailing address
3840 EAST 620 NORTH, RIGBY, ID 83442
(208) 390-8648

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-29567
ID

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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