NPI 1023747714

Mary Clyde

Practitioner Social Worker Roseburg, OR

Practice location

Address: 220 Westridge Ln, Roseburg, OR 97471-8683
Phone: (240) 988-1627

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Oregon →

Registry record

NPI: 1023747714
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2022
Record last updated: 7 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.