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Individual

JULIE SUZANNE O'DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
509 CASCADE AVE STE A, HOOD RIVER, OR 97031-2060
(971) 404-6504
Mailing address
PO BOX 644, MOSIER, OR 97040-0644
(971) 404-6504

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6408
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500667517
OR
Enumeration date
09/16/2013
Last updated
07/21/2022
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