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Individual

RACHEL LYNN RICHARDSON-WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1640 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3497
(918) 708-9009
Mailing address
514 N BROADWAY, LOCUST GROVE, OK 74352-5019
(918) 931-2048

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/20/2017
Last updated
03/22/2024
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