Individual
KATHARINE C FAHRENHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 W STATE ST, BATON ROUGE, LA 70802-7912
(504) 616-6625
Mailing address
262 W STATE ST, BATON ROUGE, LA 70802-7912
(504) 616-6625
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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