Individual
MS. ROCHELLE ANIK MANWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 779-5228
(541) 772-1533
Mailing address
PO BOX 278, WOODBURN, OR 97071-0278
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L6591
OREGON STATE BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
11/29/2016
Last updated
09/27/2017
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