Individual
MISS RIKKI JO SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E CREEK AVE, SALLISAW, OK 74955-4608
(918) 774-6742
(918) 776-0703
Mailing address
210 E CREEK AVE, SALLISAW, OK 74955-4608
(918) 774-6742
(918) 776-0703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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