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1003552829
ELISABETH ERIN PAYNE
ROSEBURG, OR
NPI
1003552829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
ELISABETH ERIN PAYNE
215 SE JACKSON ST
ROSEBURG, OR 97470-3341
Phone number: 541-464-6660
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Mailing Address
ELISABETH ERIN PAYNE
1036 SE DOUGLAS AVE. ROOM CH105A
ROSEBURG, OR 97470
Phone number: 541-391-2636
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