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General NPI Number Information
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NPI Number | 1750687943
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Entity Type | Individual
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Provider Name | LATRICE FRANCIS RICHARDS LPC-S, CLC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 09/28/2019
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Provider Practice Location Address
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Address Line | 2700 SOMERSET DR APT 318
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311
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Country | US
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Telephone | 504-729-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 SOMERSET DR APT 318
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-9474
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Country | US
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Telephone | 504-729-7012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4346
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License Number State | LA
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