Individual
KATHRYN A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
990 NW CIRCLE BLVD, CORVALLIS, OR 97330-1410
(541) 768-6412
(541) 768-6643
Mailing address
990 NW CIRCLE BLVD, CORVALLIS, OR 97330-1410
(541) 768-6412
(541) 768-6643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2055
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2055
LICENSED CLINICAL SOC. WK
OR
Enumeration date
12/05/2006
Last updated
02/03/2009
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