Individual
MISS CARLA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR IN TRAIN
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 200-2363
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 200-2363
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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