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Individual

SANDRA PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4185 SW RESEARCH WAY STE 110, CORVALLIS, OR 97333-1783
(480) 864-5720
Mailing address
4185 SW RESEARCH WAY STE 110, CORVALLIS, OR 97333-1783
(562) 713-0486

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L15638
OR

Other

Enumeration date
02/24/2022
Last updated
01/28/2025
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