Individual
CARLEY K CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083656367
CURRY MEDICAL CENTER NPI
OR
01
—
1487696985
CURRY GENERAL HOSPITAL NPI
OR
05
—
500674134
—
OR
Enumeration date
09/28/2009
Last updated
10/02/2023
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