Individual
MS. MOLLY GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
631 ELM ST SW STE 205, ALBANY, OR 97321-1952
(541) 812-5020
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A3044
OR
Other
Enumeration date
09/06/2012
Last updated
11/17/2021
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