Individual
CHEDRIC ROBERT MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1175 E MAIN ST STE 1C, MEDFORD, OR 97504-7457
(541) 772-0127
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7330
OR
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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