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Individual

MS. KATHRYN B LORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3045 DICKINSON DR, TALLAHASSEE, FL 32311
(850) 878-7779
(850) 878-7790
Mailing address
3045 DICKINSON DR, TALLAHASSEE, FL 32311
(850) 878-7779
(850) 878-7790

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
C6274
MS
103TP2701X
Group Psychotherapy Psychologist
LC677
ME
103TP2701X
Group Psychotherapy Psychologist
SW2983
FL

Other

Enumeration date
03/07/2008
Last updated
03/07/2008
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