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1023148376
SUSAN ANN WATERMAN
MEDFORD, OR
NPI
1023148376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1273)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Ms. SUSAN ANN WATERMAN LCSW
107 E MAIN ST SUITE 7
MEDFORD, OR 97501-6048
Phone number: 541-772-2791
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Mailing Address
Ms. SUSAN ANN WATERMAN LCSW
107 E MAIN ST SUITE 7
MEDFORD, OR 97501-6048
Phone number: 541-772-2791
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