Individual
JENNIFER KOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2154 SW 8TH DR, GRESHAM, OR 97080-6514
(956) 279-4982
Mailing address
2154 SW 8TH DR, GRESHAM, OR 97080-6514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8432
OR
Other
Enumeration date
07/20/2018
Last updated
06/23/2022
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