Individual
GLENDA MAYE RIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 S CHURCH ST, POTEAU, OK 74953-3816
(918) 658-0892
Mailing address
806 S CHURCH ST, POTEAU, OK 74953-3816
(918) 658-0892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L081292866
OK
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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