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Individual

MRS. MICHELLE A LANTRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8495 CRATER LAKE HWY BLDG 202, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY BLDG 202, WHITE CITY, OR 97503-3011
(541) 826-2111

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
11564
KS
104100000X
Social Worker
Primary
M5874
MS
1041C0700X
Clinical Social Worker
12060
CT

Other

Enumeration date
10/20/2006
Last updated
06/03/2022
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