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Individual

MS. KATHLEEN SUZANNE LEAVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
1700 NW CIVIC DR, SUITE 310, GRESHAM, OR 97030-3770
(503) 666-8832
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/28/2012
Last updated
12/05/2016
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