Individual
ELIJAH LANE O'LEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW-A
Contact information
Practice address
1902 4TH ST STE 1, LA GRANDE, OR 97850-2558
(541) 809-1669
Mailing address
20 WILDBIRD LN, HILTON HEAD ISLAND, SC 29926-2766
(641) 295-0219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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