Individual
SANDRA M STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
261 E 12TH AVE, EUGENE, OR 97401-3208
(541) 342-8437
(458) 201-7150
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(458) 201-7150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033142
—
OR
Enumeration date
01/24/2007
Last updated
10/11/2024
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