Individual
JUEL ANN NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
1525 12TH ST, FLORENCE, OR 97439-9497
(541) 902-0408
Mailing address
8 SEA WATCH PL, FLORENCE, OR 97439-8967
(541) 997-2298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NOT LICENSED
OR
Enumeration date
08/31/2006
Last updated
07/08/2007
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