Individual
KATRINA LYNN STOUGHTENBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1100 KANSAS AVE STE B, MODESTO, CA 95351-1596
(209) 558-8884
(209) 558-8888
Mailing address
1100 KANSAS AVE STE B, MODESTO, CA 95351-1596
(209) 558-8884
(209) 558-8888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15445
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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