Individual
EMILY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MAIN ST STE 412, KLAMATH FALLS, OR 97601-6064
(541) 321-0982
Mailing address
905 MAIN ST STE 412, KLAMATH FALLS, OR 97601-6064
(541) 321-0982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10855
OR
Other
Enumeration date
08/23/2018
Last updated
10/18/2022
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