Individual
SARA RICHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W KINGSMILL AVE STE 405, PAMPA, TX 79065-6445
(806) 440-2728
(806) 395-3675
Mailing address
1301 N RUSSELL ST, PAMPA, TX 79065-4317
(806) 662-2616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
92163
TX
Other
Enumeration date
04/15/2025
Last updated
04/22/2025
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