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1144265596
SUSAN MARIE SOUTH
SALEM, OR
NPI
1144265596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR 1457)
Enumeration Date
2006-06-19
Last Update Date
2014-08-04
Business Address
Dr. SUSAN MARIE SOUTH Psy D
627 WINTER ST NE
SALEM, OR 97301
Phone number: 541-730-5669
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Mailing Address
Dr. SUSAN MARIE SOUTH Psy D
PO BOX 96103
PORTLAND, OR 97296
Phone number: 541-730-5669
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