Individual
ANGEL DAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1907 LINDA LN, LA GRANDE, OR 97850-3339
(503) 754-8941
Mailing address
1907 LINDA LN, LA GRANDE, OR 97850-3339
(503) 754-8941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6129
OR
Other
Enumeration date
02/26/2007
Last updated
01/18/2022
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