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1083237341
SHAWNA STUCKE
WHITE CITY, OR
NPI
1083237341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L8462)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
SHAWNA STUCKE LCSW L8462
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
SHAWNA STUCKE LCSW L8462
1654 NE FOOTHILL BLVD APT B
GRANTS PASS, OR 97526-4237
Phone number: 541-826-2111
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