Individual
CRYSTAL S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E CINCINNATI AVE., MUSKOGEE, OK 74403
(918) 681-1113
(918) 681-1116
Mailing address
502 E CINCINNATI AVE., MUSKOGEE, OK 74403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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