Individual
KENNETH EDWARD SERKOWNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
770 SE KANE ST, ROSEBURG, OR 97470-3943
(541) 673-0057
(541) 673-2270
Mailing address
770 SE KANE ST, ROSEBURG, OR 97470-3943
(541) 673-0057
(541) 673-2270
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
587
OR
Other
Enumeration date
01/07/2009
Last updated
01/12/2009
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