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1114137494
GLADYS SHADE
NORTH BEND, OR
NPI
1114137494
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Professional Name
ALEX SHADE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OR 3124)
Enumeration Date
2007-05-23
Last Update Date
2008-12-02
Business Address
MS. GLADYS SHADE QMHP, LCSW
1890 WAITE ST SUITE 1
NORTH BEND, OR 97459-1229
Phone number: 541-756-6232
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Mailing Address
MS. GLADYS SHADE QMHP, LCSW
1890 WAITE ST SUITE 1
NORTH BEND, OR 97459-1229
Phone number: 541-756-6232
Copy
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