Individual
PAUL W GIANCARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 SISKIYOU BLVD STE B, ASHLAND, OR 97520-3941
(541) 482-7070
(541) 708-6500
Mailing address
1109 SISKIYOU BLVD STE B, ASHLAND, OR 97520-3941
(541) 482-7070
(541) 708-6500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2791
OR
Other
Enumeration date
04/26/2007
Last updated
10/11/2021
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