Provider Information for 1801183850
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Ms. LAQUANA ALICIA RICHMOND EDS, LPC, LCAS, CCS,
Sex: Female
NPI: 1801183850
Last Updated: 2024-04-23
Certification Date: 2024-04-23
Certification Date: 2024-04-23
Details
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| NPI | 1801183850 | ||||||||||||||||||||||||||||||||||||
| Enumeration Date | 2011-06-28 | ||||||||||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||||||||||
| Mailing Address | 6946 SKYHAWK DR FAYETTEVILLE, NC 28314-5381 United States Phone: 336-212-9236 | Fax: | ||||||||||||||||||||||||||||||||||||
| Primary Practice Address | 6946 SKYHAWK DR FAYETTEVILLE, NC 28314-5381 United States Phone: 336-212-9236 | Fax: | ||||||||||||||||||||||||||||||||||||
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