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Individual

KATHLEEN STORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2105 W LOUISIANA AVE, MIDLAND, TX 79701-5919
(432) 682-5683
Mailing address
5010 W LOOP 250 N, SUITE 6C, MIDLAND, TX 79707-3116
(432) 258-8108

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201624
TX

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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