Individual
LAWRENCE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-2202
(405) 445-3780
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-2202
(405) 445-3780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6971
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/16/2011
Last updated
07/29/2019
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