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Individual

BIANCA RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 KOHLERS XING STE 450, KYLE, TX 78640-2464
(737) 615-8436
Mailing address
115 KOHLERS XING STE 450, KYLE, TX 78640-2464
(737) 615-8436

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1912409
221700000X
Art Therapist
1912409
405300000X
Prevention Professional
1912409
TX

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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