Individual
BRENDA MARIE FENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2616
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6752
OR
Other
Enumeration date
09/10/2009
Last updated
12/22/2021
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