Individual
GARY JAMES MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
24-QMHP-R-2926
OR
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
10/07/2021
Last updated
07/11/2024
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