Individual
CAROLINE J MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 256-2000
(360) 514-2458
Mailing address
16248 SE MORRISON ST, PORTLAND, OR 97233-3952
(503) 334-7432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5410
OR
1041C0700X
Clinical Social Worker
LW61219416
WA
Other
Enumeration date
06/20/2008
Last updated
02/08/2024
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