Individual
MARY F KAUTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 489-2225
(503) 661-4959
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 489-2225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L1016
—
Other
Enumeration date
08/04/2006
Last updated
04/17/2008
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