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Individual

ELZIE M STEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 809-5060
(503) 809-5060
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 809-5060
(503) 809-5060

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-17-293
OR
101YM0800X
Mental Health Counselor
104100000X
Social Worker
A4486
OR
1041C0700X
Clinical Social Worker
Primary
8469
OR
1041C0700X
Clinical Social Worker
ASW 23233
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500691460
OR
05
500760360
OR
Enumeration date
04/24/2008
Last updated
05/18/2023
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