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Individual

DR. KATHRYN ANNE LAFORTUNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
J.D., PH.D.

Contact information

Practice address
3120 S BIRMINGHAM AVE, TULSA, OK 74105-2324
(918) 770-3962
Mailing address
3120 S BIRMINGHAM AVE, TULSA, OK 74105-2324
(918) 770-3962

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
841
OK
103TC0700X
Clinical Psychologist
841
OK
103TF0200X
Forensic Psychologist
Primary
841
OK

Other

Enumeration date
12/15/2016
Last updated
12/15/2016
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