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1104406875
STEPHANIE ANNE CUMMINGS
PRINEVILLE, OR
NPI
1104406875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-746)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
STEPHANIE ANNE CUMMINGS
357 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 971-275-5083
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Mailing Address
STEPHANIE ANNE CUMMINGS
1319 NE BARNEY ST
PRINEVILLE, OR 97754-2013
Phone number: 971-275-5083
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