Individual
DEIDRE ANN LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3509 NW SAMARITAN DR STE 215, CORVALLIS, OR 97330-3893
(541) 768-5235
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6943
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711254
—
OR
Enumeration date
04/27/2016
Last updated
11/10/2020
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