Individual
ANTRA RENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
1440 BIRCH AVE # 10, COTTAGE GROVE, OR 97424-1417
(541) 357-8082
(866) 931-2340
Mailing address
73560 ABEENE LN, COTTAGE GROVE, OR 97424-9201
(541) 357-8082
(866) 931-2340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L16143
OR
Other
Enumeration date
11/12/2013
Last updated
06/04/2025
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