Individual
DANIELLE JOAN BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2859 STATE ST STE 101, MEDFORD, OR 97504-8495
(541) 282-6505
Mailing address
2859 STATE ST STE 101, MEDFORD, OR 97504-8495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11285
OR
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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