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Individual

MRS. CANDIS KAY SOLLARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 12TH ST, SUITE #4, ASTORIA, OR 97103-4146
(503) 325-3623
(503) 325-4986
Mailing address
1 12TH ST, SUITE #4, ASTORIA, OR 97103-4146
(503) 325-3623
(503) 325-4986

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3219
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000000053
BLUE CROSS BLUE SHIELD
OR
01
A023
TRIWEST
OR
Enumeration date
07/18/2005
Last updated
03/10/2011
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