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1053026179
LEILA RUTH CARLSON
MEDFORD, OR
NPI
1053026179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-01-23
Last Update Date
2024-06-02
Business Address
LEILA RUTH CARLSON
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
LEILA RUTH CARLSON
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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