Individual
STEPHANY SUSANA MOWLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3729 KLINDT DR, THE DALLES, OR 97058-3566
(541) 298-2101
Mailing address
3427 SE 12TH ST, GRESHAM, OR 97080-6147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
01/31/2024
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