Individual
STACEY SNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4750
Mailing address
919 SE 52ND PL, PORTLAND, OR 97215-2628
(503) 234-5477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2664
OR
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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