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Individual
TANISHA RICHARDSON
Active
Individual
TANISHA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1700648
OH
1041C0700X
Clinical Social Worker
0904015586
VA
1041C0700X
Clinical Social Worker
30982
MD
1041C0700X
Clinical Social Worker
Primary
I.2102634
OH
1041C0700X
Clinical Social Worker
LC200002076
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313038
—
OH
Enumeration date
09/11/2018
Last updated
08/12/2026
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