Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | OK | |
Y | 104100000X | Social Worker | 6832 | OK |
NPI | 1235767013 |
---|---|
Provider Name | Katelyn Nicole Lamb-Swanigan |
First Address | Bethany, OK 73008-4245 |
Second Address | Oklahoma City, OK 73112-1625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2020 |
Last Update Date | 29/03/2020 |