Individual
MR. GARY LEE PFENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1049 OAK ST SE, SALEM, OR 97301-4018
(503) 585-4949
Mailing address
1544 MADELYN AVE SE, SALEM, OR 97306-3554
(503) 391-4293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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