Individual
ELIZABETH ANNE MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWI
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7535-S
NV
1041C0700X
Clinical Social Worker
8767-C
NV
1041C0700X
Clinical Social Worker
Primary
L12236
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500789091
—
OR
Enumeration date
04/02/2018
Last updated
07/25/2026
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