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1073987046
TARA MAHONEY
PENDLETON, OR
NPI
1073987046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 00-11-47)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
Ms. TARA MAHONEY CADC II
920 SW FRAZER AVE
PENDLETON, OR 97801-2800
Phone number: 541-276-1022
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Mailing Address
Ms. TARA MAHONEY CADC II
920 SW FRAZER AVE # 219
PENDLETON, OR 97801-2800
Phone number: 541-276-1022
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