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1083605869
ELIZABETH QUACKENBUSH
SALEM, OR
NPI
1083605869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1096)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Dr. ELIZABETH QUACKENBUSH PsyD
2493 STATE ST
SALEM, OR 97301-4543
Phone number: 503-588-1010
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Mailing Address
Dr. ELIZABETH QUACKENBUSH PsyD
2493 STATE ST
SALEM, OR 97301-4543
Phone number: 503-588-1010
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