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1558581025
PAUL W GIANCARLO
ASHLAND, OR
NPI
1558581025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2791)
Enumeration Date
2007-04-26
Last Update Date
2021-10-11
Business Address
PAUL W GIANCARLO
1109 SISKIYOU BLVD STE B
ASHLAND, OR 97520-3941
Phone number: 541-482-7070
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Mailing Address
PAUL W GIANCARLO
1109 SISKIYOU BLVD STE B
ASHLAND, OR 97520-3941
Phone number: 541-482-7070
Copy
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