Individual
CAROL MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1111
Mailing address
6639 SW 153RD AVE, BEAVERTON, OR 97007-5064
(408) 767-1710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7969
OR
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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