Individual
MS. KATHERINE MARIE DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A0407027
AR
101YP2500X
Professional Counselor
Primary
P0708043
AR
Other
Enumeration date
08/07/2007
Last updated
08/24/2007
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