Shelly Myume Emi Fickes, LCSW

NPI #1194315069 in Medford, Oregon

Provider Information

NPI Number
1194315069
Entity Type
Individual
Name
Shelly Myume Emi Fickes, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 24, 2021
Last Updated
Jan 24, 2021

Practice Location

Address
724 S CENTRAL AVE
State
Oregon
ZIP Code
97501-7851
Phone
(541) 249-7724

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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