Individual
MR. ALLEN STAYNER RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW (9/2016)
Contact information
Practice address
640 E 700 S STE 205B, SAINT GEORGE, UT 84770-5773
(435) 817-9780
Mailing address
2177 ALLISON ROW, ST GEORGE, UT 84790-8306
(435) 773-8909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW 2ND YEAR INTERN
—
1041C0700X
Clinical Social Worker
Primary
9068997-3501
UT
Other
Enumeration date
01/09/2014
Last updated
03/28/2018
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