Individual
JERRION ANDREW RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, LICSW
Contact information
Practice address
1614 HARMON PL STE 230, MINNEAPOLIS, MN 55403-1929
(612) 354-2592
Mailing address
4751 3RD ST NE, FRIDLEY, MN 55421-2128
(612) 354-2592
(612) 474-0503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23353
MN
Other
Enumeration date
07/16/2017
Last updated
04/30/2022
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