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1083493571
EVELYN DETRICK
SALEM, OR
NPI
1083493571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
EVELYN DETRICK QMHP
4080 REED RD SE STE 150
SALEM, OR 97302-1335
Phone number: 503-581-6702
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Mailing Address
EVELYN DETRICK QMHP
4080 REED RD SE STE 150
SALEM, OR 97302-1335
Phone number: 503-581-6702
Copy
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