Individual
MRS. JENIVEVE ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44644 CAMP MORRISON DR, SCIO, OR 97374-9336
(503) 394-4294
(503) 394-7096
Mailing address
PO BOX 482, SCIO, OR 97374-0482
(503) 394-4294
(503) 394-7096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4414
OR
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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