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Individual

JAELYN RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
7700 EQUITABLE DR, EDEN PRAIRIE, MN 55344-3684
(952) 932-7277
Mailing address
7700 EQUITABLE DR, EDEN PRAIRIE, MN 55344-3684

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
31299
MN

Other

Enumeration date
07/26/2021
Last updated
09/17/2025
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