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1003059296
THERESE N MASTIN
COTTAGE GROVE, OR
NPI
1003059296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-04-17
Last Update Date
2022-07-21
Business Address
-- THERESE N MASTIN M.A., QMHP
1345 BIRCH AVE
COTTAGE GROVE, OR 97424-1416
Phone number: 541-942-3939
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Mailing Address
-- THERESE N MASTIN M.A., QMHP
410 N 9TH ST PO BOX 5
COTTAGE GROVE, OR 97424-1307
Phone number: 541-942-2850
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