Individual
MS. KATHKLEEN ANN SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4670 3RD ST, TILLAMOOK, OR 97141-2902
(503) 398-4635
Mailing address
4670 3RD ST, TILLAMOOK, OR 97141-2902
(503) 398-4635
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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