Individual
MARIAN GUNDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1016 COURT ST, MEDFORD, OR 97501-5728
(541) 776-7601
Mailing address
1016 COURT ST, MEDFORD, OR 97501-5728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1777
OR
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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