# MICHELLE DAGUE LCSW PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053991257
- **Authorized official:** MICHELLE DAGUE (PRESIDENT)
- **Authorized official phone:** (503) 884-3946

## Contact information

- **Practice address:** 777 NE 7TH ST STE 208, GRANTS PASS, OR 97526-1632
- **Practice address phone:** (503) 884-3946
- **Practice address fax:** (503) 200-1302
- **Mailing address:** PO BOX 445, MURPHY, OR 97533-0445
- **Mailing address phone:** (503) 884-3946
- **Mailing address fax:** (503) 200-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2021
- **Last updated:** 01/07/2025