Individual
DEBRA JANE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
208 E SAINT LOUIS AVE, WETUMKA, OK 74883-4523
(214) 499-8814
Mailing address
208 E SAINT LOUIS AVE, WETUMKA, OK 74883-4523
(214) 499-8814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11646592499
—
OK
Enumeration date
01/24/2014
Last updated
01/24/2014
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