Individual
EMMA LAVETTER-KEIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
(971) 270-0167
Mailing address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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