Organization
KATIE AZAROW, LCSW, CADC I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE AZAROW LCSW, CADC I (OWNER)
(402) 253-4713
Entity
Organization
Contact information
Practice address
1312 E BURNSIDE ST, PORTLAND, OR 97214-1424
(402) 253-4713
Mailing address
1312 E BURNSIDE ST, PORTLAND, OR 97214-1424
(402) 253-4713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6348
OR
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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