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1053967570
SHELBY BRYNE MATT-SMITH
MEDFORD, OR
NPI
1053967570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C7737)
Enumeration Date
2019-08-12
Last Update Date
2023-10-10
Business Address
SHELBY BRYNE MATT-SMITH LPC
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-500-0977
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Mailing Address
SHELBY BRYNE MATT-SMITH LPC
1000 E MAIN ST
MEDFORD, OR 97504-7667
Phone number: 541-500-0977
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