Individual
ALICIA AILEEN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15870 NW BAUMAN ST APT 304, PORTLAND, OR 97229-1521
(510) 672-2147
Mailing address
15870 NW BAUMAN ST APT 304, PORTLAND, OR 97229-1521
(510) 672-2147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11634
OR
Other
Enumeration date
07/18/2018
Last updated
06/19/2024
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