Individual
LEANNE TRENTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 247-2585
Mailing address
PO BOX 4186, BROOKINGS, OR 97415-0062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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