Individual
MS. MARY KATHRYN OUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4035 12TH STREET CUTOFF SE, SUITE 140, SALEM, OR 97302
(503) 363-8075
(503) 315-7571
Mailing address
4035 12TH STREET CUTOFF SE, SUITE 140, SALEM, OR 97302
(503) 363-8075
(503) 315-7571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1178
OR
Other
Enumeration date
02/15/2006
Last updated
12/30/2015
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