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1104468503
CRYSTAL ANN RICHARDSON
SALT LAKE CITY, UT
NPI
1104468503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9474109-3501)
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
Ms. CRYSTAL ANN RICHARDSON LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-694-7055
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Mailing Address
Ms. CRYSTAL ANN RICHARDSON LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-694-7055
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