Mary Clyde

NPI #1023747714 in Roseburg, Oregon

Provider Information

NPI Number: 1023747714
Entity Type: Individual
Name: Mary Clyde
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 7, 2022
Last Updated: Jun 7, 2022

Practice Location

Address: 220 WESTRIDGE LN
City: Roseburg
State: Oregon
ZIP Code: 97471-8683
Phone: (240) 988-1627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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