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1063813707
DESIREE VELASCO
SALEM, OR
NPI
1063813707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 263634042)
Enumeration Date
2014-09-12
Last Update Date
2014-09-12
Business Address
-- DESIREE VELASCO AA, CADC1
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-0670
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Mailing Address
-- DESIREE VELASCO AA, CADC1
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-0670
Copy
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