Individual
KELSIE WAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 FRONT ST NE STE 230, SALEM, OR 97301-0860
(503) 383-9253
Mailing address
4255 HUDSON AVE NE, SALEM, OR 97301-5160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11758
OR
Other
Enumeration date
04/23/2015
Last updated
04/01/2025
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