Individual
DAVID RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW U/S
Contact information
Practice address
1601 S TRENTON AVE, TULSA, OK 74120-6611
(918) 232-1156
Mailing address
1601 S TRENTON AVE, TULSA, OK 74120-6611
(918) 232-1156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5558-P
OK
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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