Individual
CAROL J. EMBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1610 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 269-7987
Mailing address
1620 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 269-7987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3433
OR
Other
Enumeration date
10/12/2006
Last updated
04/22/2008
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