JANA NICOLE RICHARDSON

MIDVALE, UT
NPI1093344285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12921724-3501)
Enumeration Date2020-04-08
Last Update Date2026-08-10
Business Address
JANA NICOLE RICHARDSON LCSW
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047-5531
Phone number: 801-984-1717
Mailing Address
JANA NICOLE RICHARDSON LCSW
86 B ST APT 17
SALT LAKE CITY, UT 84103-2364
Phone number: 505-506-7576
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