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Individual

MRS. MARILYN GERTRUDE RICHMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NBCC, LPC

Contact information

Practice address
7027 SALINAS CT, FAYETTEVILLE, NC 28314-5262
(910) 867-0736
Mailing address
7027 SALINAS CT, FAYETTEVILLE, NC 28314-5262
(910) 867-0736

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5518
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103483
NC
Enumeration date
06/02/2008
Last updated
06/02/2008
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