Individual
KENDYL WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6510 SE FOSTER RD APT F, PORTLAND, OR 97206-4686
(503) 333-7649
Mailing address
6510 SE FOSTER RD APT F, PORTLAND, OR 97206-4686
(503) 333-7649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7527
OR
Other
Enumeration date
01/15/2019
Last updated
03/08/2019
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