Individual
LISA MARIE KORALEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1210 SE OAK ST, PORTLAND, OR 97214-1427
(503) 880-4778
Mailing address
1210 SE OAK ST, PORTLAND, OR 97214-1427
(503) 880-4778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3970
OR
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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