Individual
CRISTAL S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 SW 89TH ST, OKLAHOMA CITY, OK 73139-9231
(580) 224-2929
Mailing address
937 SW 89TH ST, OKLAHOMA CITY, OK 73139-9231
(580) 224-2929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
01/15/2024
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