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1053643429
RICHARD YOUNG MODENBACH
TULSA, OK
NPI
1053643429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 1891)
Enumeration Date
2010-02-09
Last Update Date
2010-02-09
Business Address
Mr. RICHARD YOUNG MODENBACH LCSW
744 W 9TH ST 8TH FLOOR
TULSA, OK 74127-9020
Phone number: 918-599-5730
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Mailing Address
Mr. RICHARD YOUNG MODENBACH LCSW
744 W 9TH ST 8TH FLOOR
TULSA, OK 74127-9020
Phone number: 918-599-5730
Copy
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