Individual
MS. LAURA MARY JANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8495 CRATER LAKE HWY, SWS 122, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3518
Mailing address
815 SHERMAN ST, MEDFORD, OR 97504-7127
(541) 857-9668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3853
OR
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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