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Individual

KATHERINE CORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1922 N LOCUST ST, DENTON, TX 76209-1802
(940) 536-3296
Mailing address
612 LAKESHORE BLVD, OAK POINT, TX 75068-2101
(719) 644-9495

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33339
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-18-33339
OTHER: BOARD CERTIFIED BEHAVIOR ANALYST
TX
Enumeration date
04/02/2019
Last updated
06/11/2019
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