Individual
SHANNAN KYLIE HOXSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
2478 13TH ST SE, SALEM, OR 97302-2522
(503) 362-2481
(503) 371-7803
Mailing address
2478 13TH ST SE, SALEM, OR 97302-2522
(503) 362-2481
(503) 371-7803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A13822
OR
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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