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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAWN GONZALES LCSW LLC

Active Organization

FAWN GONZALES LCSW LLC is a Clinical Social Worker organization located in MEDFORD, Oregon. NPI 1417322231 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MEDFORD, OR

Registration Details

NPI Number
1417322231
Provider Type
Organization
NPI Issued
Dec 4, 2015 (10.702886668946 yrs)
Last Updated
Dec 4, 2015
License
5212 (OR)

Practice Information

Address
14 COTTAGE ST
MEDFORD, OR, 975047332
Browse OR providers · Browse ZIP 97504
Phone
5419447711
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in MEDFORD, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.