Provider Demographics
NPI:1194823716
Name:MARLOW, KATHRYN RENEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:RENEE
Last Name:MARLOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KATHYRN
Other - Middle Name:RENEE
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2123 S ATLANTA PL
Mailing Address - Street 2:STE 150
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1779
Mailing Address - Country:US
Mailing Address - Phone:918-749-6838
Mailing Address - Fax:833-752-0014
Practice Address - Street 1:2123 S ATLANTA PL
Practice Address - Street 2:STE 150
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1779
Practice Address - Country:US
Practice Address - Phone:918-749-6838
Practice Address - Fax:833-752-0014
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLCSW3761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical