Individual
AMANDA HEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1940 FIR ST S, SALEM, OR 97302-5268
(503) 893-5439
Mailing address
410 MILL ST SE UNIT 454, SALEM, OR 97308-0815
(503) 893-5439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6798
OR
Other
Enumeration date
06/03/2016
Last updated
06/06/2023
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