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1104039346
RICHARD WILLIS BROWN
DALLAS, OR
NPI
1104039346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 806)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- RICHARD WILLIS BROWN LCSW
2200 E ELLENDALE AVE
DALLAS, OR 97338-9353
Phone number: 503-623-5588
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Mailing Address
-- RICHARD WILLIS BROWN LCSW
2200 E ELLENDALE AVE
DALLAS, OR 97338-9353
Phone number: 503-623-5588
Copy
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