Individual
KIWANYA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1809
(252) 442-8100
(252) 442-9798
Mailing address
2245 STANTONSBURG RD, SUITE P, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 752-2971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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