Individual
KATHERINE ADELLE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 200-1584
(541) 608-2888
Mailing address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 200-1584
(541) 608-2888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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