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1033578059
MAE BALDWIN STRACNER
ROSEBURG, OR
NPI
1033578059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 12-R-37)
Enumeration Date
2016-02-18
Last Update Date
2016-02-18
Business Address
MRS. MAE BALDWIN STRACNER CAADAC II CADC II
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
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Mailing Address
MRS. MAE BALDWIN STRACNER CAADAC II CADC II
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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