Individual
RACHEL LAURA RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1424 S MAIN ST, ADRIAN, MI 49221-4309
(517) 312-1712
Mailing address
9250 WALNUT DR, TIPTON, MI 49287-9821
(734) 645-9084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101002902
STATE LICENSE
MI
Enumeration date
04/21/2015
Last updated
10/19/2020
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