Rose Sweetwater, LCSW
Social Worker, Clinical in Corvallis, OR. Individual provider (NPI-1).
NPI number1376974873
StatusActive
Last updated in NPPESJul 8, 2015
Details
- NPI
- 1376974873
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rose Sweetwater
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2013
- Last updated
- Jul 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L5169 | OR | Yes |
Practice location
815 Nw 9th St #110Corvallis, OR 97330
Phone 541-768-6770 · Fax 541-768-9771
Mailing address
815 Nw 9th St #110Corvallis, OR 97330
Phone 541-768-6770 · Fax 541-768-9771
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