Individual
CHARMAINE COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 E LINCOLN ST, WOODBURN, OR 97071-3835
(845) 549-0486
Mailing address
1311 E LINCOLN ST, WOODBURN, OR 97071-3835
(845) 549-0486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L7945
OR
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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