Individual
MICHELE LYNN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 EXCHANGE, ASTORIA, OR 97103
(503) 325-5722
(503) 717-1415
Mailing address
2120 EXCHANGE, ASTORIA, OR 97103
(503) 325-5722
(503) 717-1415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4771975-3501
UT
Other
Enumeration date
11/29/2010
Last updated
06/11/2013
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