Individual
DENA SITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CHC
Contact information
Practice address
711 CREEK VIEW LN, THE DALLES, OR 97058-1374
(541) 806-3535
Mailing address
711 CREEKVIEW LANE, THE DALLES, OR 97058
(541) 806-3535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7332
OR
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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