Individual
MS. KATHERINE SUE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FOSTER PARENT
Contact information
Practice address
2812 S 124TH EAST AVE, TULSA, OK 74129-8238
(918) 437-9120
Mailing address
2812 S 124TH EAST AVE, TULSA, OK 74129-8238
(918) 437-9120
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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