Individual
OMA LEA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4971
Mailing address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3119
OR
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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