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Individual

GWENDOLYN EVAN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
208 STATE STREET, SUITE #2, HOOD RIVER, OR 97031-2036
(541) 241-6276
(360) 844-5184
Mailing address
208 STATE STREET, SUITE #2, HOOD RIVER, OR 97031
(412) 416-2765
(360) 844-5184

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4428
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139670
OR
05
500801640
OR
01
R147878
MEDICARE PTAN
OR
Enumeration date
06/17/2009
Last updated
04/01/2026
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