Individual
SANDRA J SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSWA
Contact information
Practice address
12901 SE 97TH AVE, SUITE 340, CLACKAMAS, OR 97015-7901
(503) 680-4551
(503) 655-6806
Mailing address
12901 SE 97TH AVE, SUITE 340, CLACKAMAS, OR 97015-7901
(503) 680-4551
(503) 655-6806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A4462
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4462
CERTIFICATE OF CLINICAL SOCIAL WORK ASSOCIATE
OR
01
—
SC60593676
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/31/2015
Last updated
10/14/2016
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