Individual
MS. KATHLEEN MARIE WHALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
2220 SE 143RD AVE, PORTLAND, OR 97233-2443
(509) 979-4406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7663
OR
1041C0700X
Clinical Social Worker
LW00008567
WA
Other
Enumeration date
07/07/2008
Last updated
05/01/2018
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