# KATIE AZAROW, LCSW, CADC I

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467998229
- **Authorized official:** KATIE AZAROW LCSW, CADC I (OWNER)
- **Authorized official phone:** (402) 253-4713

## Contact information

- **Practice address:** 1312 E BURNSIDE ST, PORTLAND, OR 97214-1424
- **Practice address phone:** (402) 253-4713
- **Mailing address:** 1312 E BURNSIDE ST, PORTLAND, OR 97214-1424
- **Mailing address phone:** (402) 253-4713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6348 | OR | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017