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Individual

HALEY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CSWA

Contact information

Practice address
849 PACIFIC AVE, HOOD RIVER, OR 97031-1956
(541) 386-6380
Mailing address
849 PACIFIC AVE, HOOD RIVER, OR 97031-1956
(541) 386-6380

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
A13786
OR
1041C0700X
Clinical Social Worker
Primary
A13786
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A13786
BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
11/16/2022
Last updated
11/16/2022
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