Individual
MS. AVIE RICE STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1514 E 14TH ST, THE DALLES, OR 97058-3226
(541) 965-1875
Mailing address
1514 E 14TH ST, THE DALLES, OR 97058-3226
(541) 965-1875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L10981
OR
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/13/2010
Last updated
01/12/2024
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