Individual
ANDRE SOMOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Mailing address
321 SE 3RD ST, TOLEDO, OR 97391-1613
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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