Individual
HOLLY MARIE RICHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CFY-SLP
Contact information
Practice address
11505 SHEFFIELD ST, MIDWEST CITY, OK 73130-8208
(405) 413-3337
Mailing address
11505 SHEFFIELD ST, MIDWEST CITY, OK 73130-8208
(405) 413-3337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2161
OK
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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