Individual
ELIZABETH PERSEPHONE HOSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17973
LA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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