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Individual

PATRICIA ANN CAPRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Mailing address
272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L4129
OR
1041C0700X
Clinical Social Worker
Primary
L4129
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500646738
OR
Enumeration date
12/18/2007
Last updated
04/13/2015
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