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1063614162
BECKY JANELLE GATHERCOAL
MEDFORD, OR
NPI
1063614162
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Other Name
BECKY JANELLE GATHERCOAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 2674)
Enumeration Date
2007-06-01
Last Update Date
2018-03-09
Business Address
Mrs. BECKY JANELLE GATHERCOAL LCSW
3550 NATIONAL DRIVE
MEDFORD, OR 97504-7309
Phone number: 541-772-8680
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Mailing Address
Mrs. BECKY JANELLE GATHERCOAL LCSW
1512 NORDIC CT
MEDFORD, OR 97504-5299
Phone number: 541-840-7775
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