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Individual

ANNA NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
112 E BURNETT ST, STAYTON, OR 97383-1735
(541) 704-7511
Mailing address
112 E BURNETT ST, STAYTON, OR 97383-1735
(541) 704-7511

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21-02-10076
OR
1041C0700X
Clinical Social Worker
Primary
L11251
OR

Other

Enumeration date
05/18/2020
Last updated
01/11/2024
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