Individual
MRS. CAROLYN JULIA O'DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6235
(360) 575-4805
Mailing address
PO BOX 795, KELSO, WA 98626-0069
(360) 425-4481
(360) 425-4481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L0548
OR
1041C0700X
Clinical Social Worker
Primary
LW00005953
WA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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