# KATHLEEN M GIROD LCSW LLC

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

## Provider details

- **NPI number:** 1972043990
- **Authorized official:** KATHLEEN M GIROD LCSW (SOCIAL WORKER)
- **Authorized official phone:** (503) 837-3546

## Contact information

- **Practice address:** 04 SW HAMILTON ST, PORTLAND, OR 97239-4095
- **Practice address phone:** (503) 837-3546
- **Mailing address:** 04 SW HAMILTON ST, PORTLAND, OR 97239-4095
- **Mailing address phone:** (503) 837-3546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 02/24/2017