Individual
KATHERINE JEANETTE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(405) 591-3667
(855) 892-0299
Mailing address
2638 CLASSEN BLVD UNIT 312, NORMAN, OK 73071-4388
(405) 519-5172
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-483713
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2024
Last updated
07/14/2026
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