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Individual

MRS. JENNIFER KAYE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, LPC

Contact information

Practice address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 308-7713
Mailing address
114 E HUGHBERT ST, NORMAN, OK 73069-7832
(405) 308-7713

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5678
OK

Other

Enumeration date
11/03/2009
Last updated
06/30/2015
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