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1124418629
SHAROLE BEISENHERZ
BEND, OR
NPI
1124418629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-01-02)
Enumeration Date
2015-02-04
Last Update Date
2015-02-04
Business Address
-- SHAROLE BEISENHERZ CADC I
20138 CIRRUS CT
BEND, OR 97702-2331
Phone number: 541-306-4446
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Mailing Address
-- SHAROLE BEISENHERZ CADC I
20138 CIRRUS CT
BEND, OR 97702-2331
Phone number: 541-306-4446
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