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Individual

AUTUMN MAY ACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2397 NW KINGS BLVD # 4012, CORVALLIS, OR 97330-3986
(541) 204-8956
(541) 975-9178
Mailing address
2397 NW KINGS BLVD # 4012, CORVALLIS, OR 97330-3985
(503) 302-0496

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
04/15/2022
Last updated
01/15/2026
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