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1922361393
RICHARD S WAGUESPACK
CLINTON, OK
NPI
1922361393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 4389)
Enumeration Date
2012-06-20
Last Update Date
2022-11-22
Business Address
Mr. RICHARD S WAGUESPACK BTH, LCSW
603 W GARY BLVD
CLINTON, OK 73601-2715
Phone number: 580-500-8050
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Mailing Address
Mr. RICHARD S WAGUESPACK BTH, LCSW
303 N MARKET ST
CORDELL, OK 73632-4229
Phone number: 580-500-8050
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