JANE BROUD

WHITE CITY, OR
NPI1235675976
Former NameJANE COAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  7180)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OH  I 1600789)
Enumeration Date2017-01-18
Last Update Date2017-01-18
Business Address
-- JANE BROUD LCSW
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Mailing Address
-- JANE BROUD LCSW
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111