Individual
MARY ANNE TRAILOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 813-2535
(541) 813-2536
Mailing address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 813-2535
(541) 813-2536
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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