Judy L Kephart, MH-FRA
NPI #1790841971 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1790841971
- Entity Type
- Individual
- Name
- Judy L Kephart, MH-FRA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MH-FRA
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 410 N 9TH ST
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1307
- Phone
- (541) 942-2850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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