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1043736317
TRACY DEKELBOUM
WHITE CITY, OR
NPI
1043736317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6873)
Enumeration Date
2017-08-18
Last Update Date
2022-07-21
Business Address
TRACY DEKELBOUM LCSW
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-830-7423
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Mailing Address
TRACY DEKELBOUM LCSW
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-830-7423
Copy
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