Individual
SHANIA C. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WESTPARK DR STE 310, PEACHTREE CITY, GA 30269-3558
(770) 750-4254
Mailing address
204 CHADMORE LN, TYRONE, GA 30290-1574
(678) 758-6827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC009714
GA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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