Individual
MS. HOLLY R THAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
920 SW FRAZER AVE, SUITE 124, PENDLETON, OR 97801
(541) 276-1916
Mailing address
PO BOX 1862, PENDLETON, OR 97801
(541) 276-1916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2059
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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