Organization
SANDRA L. STRADLEY, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L STRADLEY LCSW (PRESIDENT)
(503) 588-2155
Entity
Organization
Contact information
Practice address
1645 LIBERTY ST SE, SALEM, OR 97302-4347
(503) 588-2155
Mailing address
1645 LIBERTY ST SE, SALEM, OR 97302-4347
(503) 588-2155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
012
OR
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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