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Individual

MS. BRENDA DORENE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.,COMS

Contact information

Practice address
8152 S CLYDE AVE, CHICAGO, IL 60617-1115
(773) 979-0007
Mailing address
8152 S CLYDE AVE, CHICAGO, IL 60617-1115
(773) 979-0007

Taxonomy

Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary

Other

Enumeration date
09/18/2009
Last updated
09/18/2009
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