Individual
KENNETH EUGENE SANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4736 ROYAL AVE # 254, EUGENE, OR 97402-1755
(707) 502-2833
Mailing address
4736 ROYAL AVE # 254, EUGENE, OR 97402-1755
(707) 502-2833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L14016
OR
1041C0700X
Clinical Social Worker
Primary
LCSW108992
CA
Other
Enumeration date
10/04/2018
Last updated
10/28/2024
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