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Individual

MARY COSENTINO-CATHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11376 SE LINWOOD AVE, MILWAUKIE, OR 97222-2749
(971) 533-0497
Mailing address
11376 SE LINWOOD AVE, MILWAUKIE, OR 97222-2749
(971) 533-0497

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5980
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
01/07/2019
Last updated
01/07/2019
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