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Individual

MS. KATHERINE MARY WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 702-3636
Mailing address
5218 CAMERON CREEK CIR APT 258, FORT WORTH, TX 76132-3213
(845) 926-6322

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38172
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2018
Last updated
10/30/2019
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