Individual
KATHERINE MARIE WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.D., LPC
Contact information
Practice address
4520 S MAPLE AVE, BROKEN ARROW, OK 74011-3027
(918) 706-1424
Mailing address
4520 S MAPLE AVE, BROKEN ARROW, OK 74011-3027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
07/24/2012
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