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Individual

KATHRYN TAYLOR WAYT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1112 NODAK DR S, FARGO, ND 58103-2333
(701) 232-6224
(701) 232-4687
Mailing address
1112 NODAK DR S, FARGO, ND 58103-2333
(701) 232-6224
(701) 232-4687

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1062-4-15-20-383
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1479322
ND
Enumeration date
02/15/2011
Last updated
01/21/2025
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