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Individual

CLARA NELL HANSON I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, CSWA

Contact information

Practice address
2659 SW 4TH ST STE 102, REDMOND, OR 97756-6406
(541) 516-6330
Mailing address
2659 SW 4TH ST STE 102, REDMOND, OR 97756-6406

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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