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) 471-3455
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 471-3455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7535-S
NV
Other
Enumeration date
04/02/2018
Last updated
03/01/2021
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