Individual
CHANDA F RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 382-7300
(918) 382-7302
Mailing address
1728 E 14TH ST, TULSA, OK 74104-4434
(404) 915-9665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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