Individual
JENNY LEITSON-GRABELSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2859 STATE ST, MEDFORD, OR 97504-8400
(541) 282-6500
Mailing address
691 MURPHY RD, MEDFORD, OR 97504-4346
(541) 789-6460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
096492-1
NY
1041C0700X
Clinical Social Worker
Primary
L8439
OR
Other
Enumeration date
09/04/2013
Last updated
05/20/2020
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