Individual
MS. JUDY K VOGELSANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6139
(541) 766-6186
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6139
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
STB-T-10130060
OR
1041C0700X
Clinical Social Worker
Primary
2689
OR
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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