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1033656269
ELLECIA DECOUTEAU
MILWAUKIE, OR
NPI
1033656269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 15632)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
-- ELLECIA DECOUTEAU
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5205
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Mailing Address
-- ELLECIA DECOUTEAU
1453 FOUR SEASONS DR
ROSEBURG, OR 97470-3521
Phone number: 971-219-4857
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