MRS. Nicole Lavonne Altstadt, MSW, CSWA

NPI #1306507629 in Gresham, Oregon

Provider Information

NPI Number
1306507629
Entity Type
Individual
Name
MRS. Nicole Lavonne Altstadt, MSW, CSWA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, CSWA
Enumeration Date
Jan 8, 2022
Last Updated
Jan 8, 2022

Practice Location

Address
4295 SW TEGART LN
State
Oregon
ZIP Code
97080-8653
Phone
(503) 545-9939

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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