Lonny Louise Mayeda LCSW

NPI 1154625150 - Social Worker - 1041C0700X

NPI Details
NPI 1154625150
Gender Female
Enumeration Date 01/05/2011
Last Updated 12/22/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
140 SOUTH HOLLY STTEET
MEDFORD OR, 97501, US
Phone (541) 774-8200
Fax (541) 774-7964
Business Location
140 SOUTH HOLLY STREET
MEDFORD OR, 97501, US
Phone (541) 774-8200
Fax (541) 774-7964
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number 1970
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According to our database, Mrs. Lonny Louise Mayeda LCSW NPI is 1154625150, taxonomy code is 1041C0700X and license number is 1970, license state is located at Oregon. Lonny Louise Mayeda LCSW physically located at 140 South Holly Stteet, Medford OR, 97501. NPI Number Lonny Louise Mayeda LCSW has the Individual type.

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1154625150 NPI number is provided on an as is basis without warranty of any kind. 1154625150 is maintained by the National Plan & Provider Enumeration System. The contents of Lonny Louise Mayeda LCSW are for informational purposes only.