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Individual

HOLLY KRZYANIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, CSWA

Contact information

Practice address
1660 OAK ST SE, SUITE 100, SALEM, OR 97301-6942
(503) 319-7485
Mailing address
1660 OAK ST SE, SUITE 100, SALEM, OR 97301-6942

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A5055
OR
104100000X
Social Worker
M5055
OR

Other

Enumeration date
10/21/2009
Last updated
10/02/2012
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