Individual
MIRANDA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3495 LAKESIDE DR # 88, RENO, NV 89509-4841
(775) 237-2079
Mailing address
3495 LAKESIDE DR # 88, RENO, NV 89509-4841
(775) 237-2079
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10019-M
NV
1041C0700X
Clinical Social Worker
Primary
11595-C
NV
Other
Enumeration date
08/16/2022
Last updated
02/18/2026
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