TABITHA MICHELLE

GRANTS PASS, OR
NPI1760916019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L11560)
Enumeration Date2017-04-13
Last Update Date2024-01-09
Business Address
TABITHA MICHELLE LCSW
309 SW PINE ST
GRANTS PASS, OR 97526-2542
Phone number: 541-659-4811
Mailing Address
TABITHA MICHELLE LCSW
309 SW PINE ST
GRANTS PASS, OR 97526-2542
Phone number: 541-659-4811