Individual
KATHLEEN F MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
(541) 296-7619
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
(541) 296-7619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3499
OR
Other
Enumeration date
11/16/2006
Last updated
07/09/2007
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