Individual
KATHLEEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(971) 368-0104
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(971) 368-0104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L003474
OR
Other
Enumeration date
01/24/2012
Last updated
06/19/2024
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