Individual
MARY KAY JABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSWA
Contact information
Practice address
272 NW MEDICAL LOOP STE E, ROSEBURG, OR 97471-5545
(541) 900-4285
(888) 810-2993
Mailing address
770 SE KANE ST, ROSEBURG, OR 97470-3943
(541) 464-6455
(541) 464-6457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
05/20/2019
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