Individual
MS. JULIA ANGELINA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1245 N RIVERSIDE AVE, SUITE 20, MEDFORD, OR 97501-4655
(541) 292-6225
Mailing address
300 OAK VALLEY DR, TALENT, OR 97540-9606
(541) 292-6225
(541) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2339
OR
Other
Enumeration date
12/23/2005
Last updated
10/05/2011
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