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1114530193
LYDIA CORINE MEYER
ROSEBURG, OR
NPI
1114530193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 20-07-12)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
LYDIA CORINE MEYER CADC 1
2575 NW KLINE ST
ROSEBURG, OR 97471-8827
Phone number: 541-673-3504
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Mailing Address
LYDIA CORINE MEYER CADC 1
2575 NW KLINE ST
ROSEBURG, OR 97471-8827
Phone number: 541-673-3504
Copy
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