Individual
MRS. BETTY J RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
311 W MAIN ST, WILBURTON, OK 74578-4047
(918) 465-0909
(918) 465-0404
Mailing address
311 W MAIN ST, WILBURTON, OK 74578-4047
(918) 465-0909
(918) 465-0404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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