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Individual

ANTWON LAMAR RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHS

Contact information

Practice address
6561 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3502
(614) 561-9549
Mailing address
765 S ASHBURTON RD, COLUMBUS, OH 43227-1027
(380) 276-9916

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
347C00000X
Private Vehicle
SP665598
OH

Other

Enumeration date
12/19/2024
Last updated
06/24/2025
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