Individual
STACIE LEE WESTBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
4572 PARK RIDGE DR, MEDFORD, OR 97504-9141
(541) 840-9590
Mailing address
4572 PARK RIDGE DR, MEDFORD, OR 97504-9141
(541) 840-9590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6033
OR
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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