Individual
KATHLEEN LYNNETTE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 813-2535
Mailing address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 813-2535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2011
Last updated
10/02/2020
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