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Organization
STACEY GUSS LCSW LLC
Active
Organization
STACEY GUSS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY EVE GUSS I LCSW (LICENSED CLINICAL SOCIAL WORKER)
(541) 779-2390
Entity
Organization
Contact information
Practice address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 779-2390
(541) 779-3260
Mailing address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 779-2390
(541) 779-3260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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