Individual
MRS. MARY GRACE BROGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1907 GARDEN AVE, SUITE 100, EUGENE, OR 97403-1962
(541) 870-3142
Mailing address
1907 GARDEN AVE, SUITE 100, EUGENE, OR 97403-1962
(541) 870-3142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4764
OR
Other
Enumeration date
05/13/2016
Last updated
09/15/2024
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