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Individual

ANGELA M GUION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LISW

Contact information

Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
(541) 984-3124
Mailing address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
(541) 984-3124

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3056
KY
1041C0700X
Clinical Social Worker
I.1303372
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
05/18/2006
Last updated
06/30/2015
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