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Organization

SHORELINE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH VON COLDITZ (LCSW)
(503) 789-6850
Entity
Organization

Contact information

Practice address
10 PIER 1 STE 204, ASTORIA, OR 97103-6328
(503) 789-6850
Mailing address
10 PIER 1 STE 204, ASTORIA, OR 97103-6328
(503) 789-6850

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6292
OR

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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