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1215278122
JEFFREY S DANZIK
MEDFORD, OR
NPI
1215278122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L5548)
Enumeration Date
2013-03-04
Last Update Date
2014-03-10
Business Address
-- JEFFREY S DANZIK LCSW
33 N CENTRAL AVE 400
MEDFORD, OR 97501-5900
Phone number: 541-821-9422
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Mailing Address
-- JEFFREY S DANZIK LCSW
PO BOX 1109
PHOENIX, OR 97535-1109
Phone number: 541-821-9422
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