Individual
JULIE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-4754
Mailing address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3006
OR
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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