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Individual
TAMMY LYNN RICHMOND
Active
Individual
TAMMY LYNN RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRSS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10622
OK
171M00000X
Case Manager/Care Coordinator
Primary
10622
OK
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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