Individual
MR. LYLE STEPHEN SHRIFTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW.
Contact information
Practice address
410 N 9TH ST, KLAMATH FALLS, OR 97601-2805
(541) 884-2357
(541) 882-6406
Mailing address
7630 CANNON AVE, KLAMATH FALLS, OR 97603-9498
(541) 884-2357
(541) 882-6406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
284
OR
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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