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Individual

WHITNEY CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 501-8037
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 501-8037

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A3929
OR

Other

Enumeration date
10/19/2015
Last updated
07/07/2021
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