Individual
MRS. ANNELISE MARLENE WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L4651
OR
1041C0700X
Clinical Social Worker
Primary
L4651
OR
Other
Enumeration date
05/10/2017
Last updated
04/01/2022
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