Individual
KATHLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 WALL ST, NORMAN, OK 73069-6302
(405) 928-2044
(405) 701-2797
Mailing address
3203 CENTER ST, OKLAHOMA CITY, OK 73120-2405
(404) 928-2044
(405) 928-2046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0174
OK
Other
Enumeration date
12/21/2006
Last updated
07/03/2014
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