Individual
MS. SANDRA A ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
528 COTTAGE ST NE, SUITE 300, SALEM, OR 97301-3811
(503) 375-7733
(503) 362-3881
Mailing address
PO BOX 5092, SALEM, OR 97304-0092
(503) 375-7733
(503) 362-3881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4165
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L4165
BOARD OF CLINICAL SOCIAL WORKERS
OR
Enumeration date
10/17/2006
Last updated
09/20/2010
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