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NPI Code Detail

MEDICARE: ANNA RICHARD

MEDICARE:   ANNA  RICHARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1710379128
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA RICHARD
Provider Business Mailing Address
First Line : 3724 GRAND PRIX DR
Second Line :
City : SEBRING
State : FL
Zip : 33872-2955
Country : US
Telephone Number : 863-658-1189
Fax Number :
Provider Business Practice Location Address
First Line : 3724 GRAND PRIX DR
Second Line :
City : SEBRING
State : FL
Zip : 33872-2955
Country : US
Telephone Number : 863-658-1189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2015
Last Update Date : 02/22/2015

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Directions to “ ANNA RICHARD ” Practice Location

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