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1043038433
MITCHELL JOHN CHMELIK
ROSEBURG, OR
NPI
1043038433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6881)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
MITCHELL JOHN CHMELIK LCSW
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
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Mailing Address
MITCHELL JOHN CHMELIK LCSW
120 QUINCY AVE
ROSEBURG, OR 97471-4995
Phone number: 630-335-2060
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