Individual
KATINA HEATHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 NW 114TH ST, OKLAHOMA CITY, OK 73120-7307
(405) 410-5376
Mailing address
2300 NW 114TH ST, OKLAHOMA CITY, OK 73120-7307
(405) 410-5376
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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