CRYSTAL ARLENE MOAN

ROSEBURG, OR
NPI1063158459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-21-566)
Enumeration Date2022-05-09
Last Update Date2022-05-09
Business Address
CRYSTAL ARLENE MOAN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
Mailing Address
CRYSTAL ARLENE MOAN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-440-3552
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