Gina M Mack-Villalobos, QMHA
NPI #1538218045 in Baker City, Oregon
Provider Information
- NPI Number
- 1538218045
- Entity Type
- Individual
- Name
- Gina M Mack-Villalobos, QMHA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- QMHA
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 4TH ST
- City
- Baker City
- State
- Oregon
- ZIP Code
- 97814-2615
- Phone
- (541) 523-3646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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