Tracy Leigh Shadle, LCSW

NPI #1932541794 in Oregon City, Oregon

Provider Information

NPI Number
1932541794
Entity Type
Individual
Name
Tracy Leigh Shadle, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 22, 2013
Last Updated
Jul 22, 2013

Practice Location

Address
998 LIBRARY CT
State
Oregon
ZIP Code
97045-4041
Phone
(503) 655-8401

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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