Individual
MARIJKE L BRUTSAERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
744 NW 4TH ST, CORVALLIS, OR 97330-6415
(541) 231-3439
Mailing address
851 NE GRANGER AVE, CORVALLIS, OR 97330-9672
(541) 231-3439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7564
OR
Other
Enumeration date
12/09/2013
Last updated
07/20/2019
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