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Individual

MS. KATHLEEN RAE BOEVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW PHD

Contact information

Practice address
117 NW 8TH STREET, MCMINNVILLE, OR 97128
(503) 472-1959
(503) 435-1475
Mailing address
P.O. BOX 973, MCMINNVILLE, OR 97128
(503) 472-1959
(503) 435-1475

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
02/23/2006
Last updated
04/16/2014
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