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Individual

MS. KATHY HAWTHORNE RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
650 S PEORIA, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-0137
Mailing address
45 E 51ST PL, TULSA, OK 74105-5420
(918) 720-8056
(918) 560-0137

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4656
OK

Other

Enumeration date
03/02/2007
Last updated
01/24/2024
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