Individual
CECELIA W SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
555 SW BRYANT, CLATSKANIE, OR 97016
(503) 728-2416
(503) 728-3590
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L3092
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
Enumeration date
04/12/2007
Last updated
12/03/2007
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