Individual
ALYSSA JOANN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
175 W 1400 N, LOGAN, UT 84341-6811
(435) 752-5302
Mailing address
358 N GATEWAY DR UNIT 424, PROVIDENCE, UT 84332-9852
(801) 709-3162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13410166-3502
UT
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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