Individual
MS. JANE ELLEN MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
300 HERSEY ST, SUITE 2, ASHLAND, OR 97520
(541) 761-7576
Mailing address
697 TERRACE ST, ASHLAND, OR 97520-3101
(541) 761-7576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0792
OR
Other
Enumeration date
02/16/2007
Last updated
05/13/2011
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