Kimble L Richardson LCSW

NPI 1073598629 - Counselor - 101YM0800X

NPI Details
NPI 1073598629
Gender Male
Enumeration Date 12/07/2005
Last Updated 03/12/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
7165 CLEARVISTA WAY
INDIANAPOLIS IN, 46256-4621, US
Phone (317) 621-5756
Fax
Business Location
6626 E 75TH STREET
STE 500
INDIANAPOLIS IN, 46250-2890, US
Phone (317) 621-7561
Fax (317) 355-6096
Toxanomy
Taxonomy Code 101YM0800X
License State Indiana
License Number 39000004A
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According to our database, Kimble L Richardson LCSW NPI is 1073598629, taxonomy code is 101YM0800X and license number is 39000004A, license state is located at Indiana. Kimble L Richardson LCSW physically located at 7165 Clearvista Way, Indianapolis IN, 46256-4621. NPI Number Kimble L Richardson LCSW has the Individual type.

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1073598629 NPI number is provided on an as is basis without warranty of any kind. 1073598629 is maintained by the National Plan & Provider Enumeration System. The contents of Kimble L Richardson LCSW are for informational purposes only.