Individual
MRS. DIXIE P RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 LOWELL DR, COLUMBUS, OH 43204-4121
(614) 527-7756
(614) 527-7756
Mailing address
PO BOX 974, HILLIARD, OH 43026-0974
(614) 527-7756
(614) 527-7756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2341380
INDEPENDENT PROVIDER MEDI
OH
Enumeration date
10/24/2007
Last updated
10/24/2007
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