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Individual

SUBRENA ANN BONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-2800
Mailing address
307 SW RIVER DR, DALLAS, OR 97338-1327
(541) 815-7735

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7138
OR

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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