MS. Gladys Shade, QMHP, LCSW
NPI #1114137494 in North Bend, Oregon
Provider Information
- NPI Number
- 1114137494
- Entity Type
- Individual
- Name
- MS. Gladys Shade, QMHP, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- QMHP, LCSW
- Enumeration Date
- May 23, 2007
- Last Updated
- Dec 2, 2008
Practice Location
- Address
- 1890 WAITE ST
- Address 2
- SUITE 1
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-1229
- Phone
- (541) 756-6232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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