| Michelle Dague Lcsw Professional Corporation | |
|
777 Ne 7th St Ste 208 Grants Pass OR 97526-1632 | |
| (503) 884-3946 | |
| (503) 200-1302 |
| Full Name | Michelle Dague Lcsw Professional Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 777 Ne 7th St Ste 208, Grants Pass, Oregon |
| Authorized Official Name and Position | Michelle Dague (PRESIDENT) |
| Authorized Official Contact | 5038843946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dague Lcsw Professional Corporation Po Box 445 Murphy OR 97533-0445 Ph: (503) 884-3946 | Michelle Dague Lcsw Professional Corporation 777 Ne 7th St Ste 208 Grants Pass OR 97526-1632 Ph: (503) 884-3946 |
| NPI Number | 1053991257 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053991257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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