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Individual

KIMBERLY SUE RICHMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1215A STEWART PLZ, DUNBAR, WV 25064-3021
(304) 768-5506
(304) 768-5506
Mailing address
5685 GATEWOOD RD, FAYETTEVILLE, WV 25840-5135
(304) 975-0011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/07/2018
Last updated
02/07/2018
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