TERRY DENISE BANTA

SALEM, OR
NPI1386280352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  A4255)
Enumeration Date2019-11-25
Last Update Date2021-10-21
Business Address
Ms. TERRY DENISE BANTA CSWA
2460 4TH ST NE
SALEM, OR 97301-8332
Phone number: 623-866-9360
Mailing Address
Ms. TERRY DENISE BANTA CSWA
2460 4TH ST NE
SALEM, OR 97301-8332
Phone number: 623-866-9360
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