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1043794126
SUSIE LEONARD
SPRINGFIELD, OR
NPI
1043794126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR A6012)
Enumeration Date
2018-09-24
Last Update Date
2020-01-18
Business Address
SUSIE LEONARD CSWA
1126 GATEWAY LOOP
SPRINGFIELD, OR 97477-7723
Phone number: 541-654-8107
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Mailing Address
SUSIE LEONARD CSWA
1126 GATEWAY LOOP
SPRINGFIELD, OR 97477-7723
Phone number: 541-654-8107
Copy
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