Individual
MS. CAROL ELLIOTT SHERBENOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-8248
(503) 418-3998
Mailing address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-8248
(503) 418-3998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2707
OR
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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