Individual
REGINA E VANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4742 LIBERTY RD. S., #525, SALEM, OR 97302-5037
(503) 858-5867
(503) 815-2383
Mailing address
4742 LIBERTY RD. S., #525, SALEM, OR 97302-5037
(503) 858-5867
(503) 815-2383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3859
OR
1041C0700X
Clinical Social Worker
L3859
OR
Other
Enumeration date
02/19/2007
Last updated
08/10/2020
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