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Individual

MS. KATHY SUE LOVRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2121 SE 57TH AVE, PORTLAND, OR 97215-4001
(503) 317-2952
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1710
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500623469
OR
Enumeration date
07/09/2010
Last updated
07/05/2022
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