Individual
MR. RICHARD S WAGUESPACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BTH, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4389
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200506970-A
—
OK
Enumeration date
06/20/2012
Last updated
09/12/2025
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