Individual
MS. KAYLA MARY LEOPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1306 SW BERTHA BLVD, PORTLAND, OR 97219-2039
(503) 860-0656
(503) 245-3118
Mailing address
1306 SW BERTHA BLVD, PORTLAND, OR 97219-2039
(503) 860-0656
(503) 245-3118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2671
OR
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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