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1134599160
WILLIAMS STEPHENS
REDMOND, OR
NPI
1134599160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14 crm 026)
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- WILLIAMS STEPHENS CRM
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
-- WILLIAMS STEPHENS CRM
676 NE NEGUS WAY
REDMOND, OR 97756-8527
Phone number: 541-504-9577
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