Provider Information for 1649309279
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Mrs. KATIE MARIE SCOTT LPC
Sex: Female
NPI: 1649309279
Last Updated: 2009-06-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1649309279 | ||||||||||||
| Enumeration Date | 2007-03-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1918 S 161ST EAST AVE TULSA, OK 74108-6100 United States Phone: 918-437-2464 | Fax:918-437-2464 | ||||||||||||
| Primary Practice Address | 1347 N YALE AVE TULSA, OK 74115-5360 United States Phone: 918-835-5499 | Fax:918-835-5499 | ||||||||||||
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