Individual
AMANDA EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 NE REDLOCK LANE, CASCADE LOCKS, OR 97014-0424
(541) 373-1900
Mailing address
PO BOX 424, CASCADE LOCKS, OR 97014-0424
(541) 373-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4492
OR
Other
Enumeration date
04/12/2013
Last updated
12/08/2016
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