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1144547498
SUELLEN MITZNER WILLI
GRANTS PASS, OR
NPI
1144547498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 002511)
Enumeration Date
2010-04-27
Last Update Date
2010-04-27
Business Address
-- SUELLEN MITZNER WILLI LCSW
2576 NEW HOPE RD
GRANTS PASS, OR 97527-9027
Phone number: 541-479-1544
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Mailing Address
-- SUELLEN MITZNER WILLI LCSW
2576 NEW HOPE RD
GRANTS PASS, OR 97527-9027
Phone number: 541-479-1544
Copy
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