JOHNNIE CALISTA BURT

WOODBURN, OR
NPI1083859169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: OR  RO849)
Enumeration Date2008-12-03
Last Update Date2008-12-03
Business Address
-- JOHNNIE CALISTA BURT M.A.
354 N PACIFIC HWY
WOODBURN, OR 97071-5148
Phone number: 503-980-5322
Mailing Address
-- JOHNNIE CALISTA BURT M.A.
PO BOX 32
WOODBURN, OR 97071-0032
Phone number: 503-980-5322
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