Individual
JAN A LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E GLADYS AVE STE 2, HERMISTON, OR 97838-1800
(541) 541-5403
Mailing address
29543 KNIGHT RD, HERMISTON, OR 97838-6138
(541) 567-8900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2218
OR
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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