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Thomas Richmond II

Social Worker in Lansing, MI. Individual provider (NPI-1).

NPI number1699298653
StatusActive
Last updated in NPPESJan 30, 2023

Details

NPI
1699298653
Entity type
Individual (NPI-1)
Name
Thomas Richmond II
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2017
Certification date
Jan 25, 2023
Last updated
Jan 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker6851114563MIYes
106S00000X Behavior Technician––

Practice location

812 E Jolly Rd
Lansing, MI 48910-6818

Phone 517-346-8305

Mailing address

812 E Jolly Rd
Lansing, MI 48910-6818

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