Theresa Lynn Richard

NPI #1083106090 in Cathlamet, Washington

Provider Information

NPI Number: 1083106090
Entity Type: Individual
Name: Theresa Lynn Richard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 42 ELOCHOMAN VALLEY RD
City: Cathlamet
State: Washington
ZIP Code: 98612-9602
Phone: (350) 795-8630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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