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Individual

MRS. PATRICE M BARRETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1606 6TH ST, LA GRANDE, OR 97850-2520
(541) 963-7289
(541) 962-7289
Mailing address
PO BOX 1005, LA GRANDE, OR 97850-1005
(541) 963-7289
(541) 963-7289

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3526
OR
1041S0200X
School Social Worker
L3526
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
831399002
REGENCE
OR
Enumeration date
08/08/2006
Last updated
06/24/2008
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