Individual
CHARLEN MASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
619 E 3RD ST, MCMINNVILLE, OR 97128-4518
(503) 883-3210
Mailing address
7110 SE EOLA HILLS RD, AMITY, OR 97101-2610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3996
OR
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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