Individual
KATHLEEN MARIE MADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3729 KLINDT DR, THE DALLES, OR 97058-3566
(541) 720-8258
Mailing address
3729 KLINDT DR, THE DALLES, OR 97058-3566
(541) 720-8258
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L6421
OR
Other
Enumeration date
10/22/2008
Last updated
11/14/2023
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