Individual
JEFFREY S DANZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
33 N CENTRAL AVE, 400, MEDFORD, OR 97501-5900
(541) 821-9422
Mailing address
PO BOX 1109, PHOENIX, OR 97535-1109
(541) 821-9422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5548
OR
Other
Enumeration date
03/04/2013
Last updated
03/10/2014
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