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Individual

MS. L RENEE DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
528 SE 4TH ST, PRINEVILLE, OR 97754-2331
(541) 420-9162
Mailing address
1555 NE 3RD ST, SUITE B-4 PMB 352, PRINEVILLE, OR 97754-2925
(541) 420-9162

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L4106
OR
171100000X
Acupuncturist
Primary
AC01271
OR

Other

Enumeration date
11/27/2007
Last updated
05/20/2011
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