Individual
STEPHANIE HUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BROADWAY ST NE STE 409, SALEM, OR 97301-1420
(503) 370-5080
Mailing address
1300 BROADWAY ST NE STE 409, SALEM, OR 97301-1420
(503) 370-5080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5032
OR
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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