SUSAN PEASE BANITT

PORTLAND, OR
NPI1407272875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L2929)
Enumeration Date2014-03-10
Last Update Date2014-03-10
Business Address
Ms. SUSAN PEASE BANITT LCSW
530 NW 23RD AVE SUITE 109
PORTLAND, OR 97210-3275
Phone number: 971-207-2766
Mailing Address
Ms. SUSAN PEASE BANITT LCSW
530 NW 23RD AVE SUITE 109
PORTLAND, OR 97210-3275
Phone number: 971-207-2766