Individual
MRS. LAURA MARS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
2008 DEVONBRIAR CV, BRANDON, MS 39042-2945
(601) 939-6634
Mailing address
2008 DEVONBRIAR CV, BRANDON, MS 39042-2945
(601) 939-6634
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0304
MS
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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