Individual
DANIELLE JOAN BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
910 S CENTRAL AVE, MEDFORD, OR 97501-7854
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11285
OR
Other
Enumeration date
03/15/2023
Last updated
07/20/2026
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