Individual
MS. ROSE SWEETWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 NW 9TH ST #110, CORVALLIS, OR 97330
(541) 768-6770
(541) 768-9771
Mailing address
815 NW 9TH ST #110, CORVALLIS, OR 97330
(541) 768-6770
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5169
OR
Other
Enumeration date
12/09/2013
Last updated
07/08/2015
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