SHELLY MYUME EMI FICKES

MEDFORD, OR
NPI1194315069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L10457)
Enumeration Date2021-01-24
Last Update Date2021-01-24
Business Address
SHELLY MYUME EMI FICKES LCSW
724 S CENTRAL AVE
MEDFORD, OR 97501-7851
Phone number: 541-249-7724
Mailing Address
SHELLY MYUME EMI FICKES LCSW
724 S CENTRAL AVE
MEDFORD, OR 97501-7851
Phone number: 541-249-7724
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