Individual
MS. LIANNE MARI DYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(800) 813-2000
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6077
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663319
—
OR
Enumeration date
10/14/2010
Last updated
12/17/2021
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