SUELLEN MITZNER WILLI

GRANTS PASS, OR
NPI1144547498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  002511)
Enumeration Date2010-04-27
Last Update Date2010-04-27
Business Address
-- SUELLEN MITZNER WILLI LCSW
2576 NEW HOPE RD
GRANTS PASS, OR 97527-9027
Phone number: 541-479-1544
Mailing Address
-- SUELLEN MITZNER WILLI LCSW
2576 NEW HOPE RD
GRANTS PASS, OR 97527-9027
Phone number: 541-479-1544