Individual
JESSICA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
311 S MADISON AVE, TULSA, OK 74120-3208
(918) 382-4471
Mailing address
311 S MADISON AVE, TULSA, OK 74120-3208
(918) 382-4471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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