Individual
KATIE CHARLOTTE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8669 WINZER RD, BEAUMONT, TX 77705-8679
(409) 937-0364
Mailing address
8669 WINZER RD, BEAUMONT, TX 77705-8679
(409) 937-0364
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
873707
TX
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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