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1114542248
AMY A DAVIS
ROSEBURG, OR
NPI
1114542248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-15
Last Update Date
2023-03-09
Business Address
AMY A DAVIS
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-671-9203
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Mailing Address
AMY A DAVIS
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-671-9203
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