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Individual
STEPHANIE RICHARDSON
Active
Individual
STEPHANIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, ADSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
195
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
641
OK
Other
Enumeration date
03/20/2007
Last updated
03/31/2008
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