NICOLE LAVONNE ALTSTADT

GRESHAM, OR
NPI1306507629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  A5691)
Enumeration Date2022-01-08
Last Update Date2022-01-08
Business Address
MRS. NICOLE LAVONNE ALTSTADT MSW, CSWA
4295 SW TEGART LN
GRESHAM, OR 97080-8653
Phone number: 503-545-9939
Mailing Address
MRS. NICOLE LAVONNE ALTSTADT MSW, CSWA
4295 SW TEGART LN
GRESHAM, OR 97080-8653
Phone number: 503-545-9939
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