Individual
MRS. MELODY SUE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11895 SW GREENBURG RD, TIGARD, OR 97223-6450
(503) 597-3894
(503) 597-3895
Mailing address
11895 SW GREENBURG RD, TIGARD, OR 97223-6450
(503) 597-3894
(503) 597-3895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4820
OR
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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