Individual
JACQUELINE TAYLOR RICHARDSON PADUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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