Organization
INTENTIONAL LIVING PROGRAMS, LLC
Active
Other names
Sandra E. Bartholomew
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BARTHOLOMEW LCSW (OWNER)
(541) 298-8227
Entity
Organization
Contact information
Practice address
405 W 4TH ST, THE DALLES, OR 97058-1305
(541) 298-8227
(541) 769-0153
Mailing address
405 W 4TH ST, THE DALLES, OR 97058-1305
(541) 298-8227
(541) 769-0153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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