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Individual
RENE RICHARDSON
Active
Individual
RENE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801108284
MI
1041C0700X
Clinical Social Worker
Primary
6801115476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801115476
LICENSE NUMBER
MI
Enumeration date
12/01/2022
Last updated
07/09/2024
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