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Individual
JANA NICOLE RICHARDSON
Active
Individual
JANA NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
12921724-3501
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/08/2020
Last updated
08/10/2026
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