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Individual

JASON RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
4445 BROWN RD, INDIANAPOLIS, IN 46226-3147
(270) 577-2234
Mailing address
4445 BROWN RD, INDIANAPOLIS, IN 46226-3147
(270) 577-2234

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33006247A
IN
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/17/2011
Last updated
08/15/2012
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