Individual
CAROLL RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 MOONEY DR, DURANT, OK 74701-2017
(903) 818-4313
Mailing address
1704 MOONEY DR, DURANT, OK 74701-2017
(903) 818-4313
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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