Individual
KATHRYN CHRISTINE DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9427 SW BARNES RD STE 599, PORTLAND, OR 97225-6652
(503) 216-1182
(503) 218-1192
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L6672
OR
1041C0700X
Clinical Social Worker
Primary
L6672
OR
Other
Enumeration date
06/08/2020
Last updated
06/26/2020
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