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Individual

KATIE BROBECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
7555 FALCON CREST DR, REDMOND, OR 97756-5022
(541) 604-2679
Mailing address
PO BOX 1955, SISTERS, OR 97759-1955

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8351
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500747433
OR
Enumeration date
02/02/2016
Last updated
05/11/2023
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