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Individual

MS. KATHLEEN BOBOWSKI GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
407 NE 12TH AVE STE 209, PORTLAND, OR 97232-2757
(503) 280-0880
Mailing address
407 NE TWELFTH AVENUE SUITE 209, PORTLAND, OR 97232-2757
(503) 280-0880

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1343
OR

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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