Individual
DENNIS MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1005 E MAIN ST, MEDFORD, OR 97504-7448
(541) 774-6862
Mailing address
475 SUNRISE AVE, MEDFORD, OR 97504-6662
(541) 734-4342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1233
OR
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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