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Individual

KATY A FORTUNE-REAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
1109 BRONZE MEDAL RD, MOORE, OK 73160-7975
(405) 487-0095

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
OK
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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