Individual
MRS. CAROL LYNN DRAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-2999
Mailing address
1589 SW NICOLE DR, MCMINNVILLE, OR 97128-7680
(503) 857-0180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4223
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L4223
LICENSED CLINICAL SOCIAL WORKER
OR
Enumeration date
09/30/2009
Last updated
09/30/2009
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