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1134692494
HEATHER M DAUGHERTY
SALEM, OR
NPI
1134692494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-01-09
Last Update Date
2024-03-20
Business Address
HEATHER M DAUGHERTY
4662 JADE ST NE
SALEM, OR 97305
Phone number: 971-453-3430
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Mailing Address
HEATHER M DAUGHERTY
4662 JADE ST NE
SALEM, OR 97305-3134
Phone number: 503-409-1100
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