Individual
ROBERT LEE EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
724 ELLSWORTH ST SW, ALBANY, OR 97321-2366
(503) 380-2666
Mailing address
41582 UPPER CALAPOOIA DR, SWEET HOME, OR 97386-9625
(503) 380-2666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2254
OR
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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