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1053803833
JAMIE WILLIAMS
ROSEBURG, OR
NPI
1053803833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-18-159)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
JAMIE WILLIAMS
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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Mailing Address
JAMIE WILLIAMS
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-492-0241
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