Individual
KATHIE L YELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5955
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3663
OR
Other
Enumeration date
08/19/2006
Last updated
07/10/2007
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