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Individual

MRS. FERN L SNOGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
629 ALTAMONT ST, ASHLAND, OR 97520-0157
(541) 482-3328
(541) 982-2265
Mailing address
PO BOX 1426, TALENT, OR 97540-8519
(541) 631-5044
(541) 631-2638

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
UNLICENSED
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
L5191
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-4333362
TAX IDENTIFICATION NUMBER
OR
Enumeration date
06/30/2009
Last updated
05/04/2016
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