Individual
LAWRENCE JEFFREY MALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2895 OAK ST, SUITE B, EUGENE, OR 97405-3694
(541) 484-4480
(541) 345-2767
Mailing address
2895 OAK ST, SUITE B, EUGENE, OR 97405-3694
(541) 484-4480
(541) 345-2767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
397
OR
Other
Enumeration date
03/22/2006
Last updated
03/08/2013
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