Individual
KATELYN QUATTLEBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7047
(539) 664-5738
Mailing address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7047
(539) 664-5738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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