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1144593112
LAURIE CAROL BLACK
EUGENE, OR
NPI
1144593112
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Former Name
LAURIE CAROL ANGUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-21
Last Update Date
2017-02-28
Business Address
-- LAURIE CAROL BLACK Q.M.H.A
1255 PEARL ST
EUGENE, OR 97401-3570
Phone number: 541-687-6983
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Mailing Address
-- LAURIE CAROL BLACK Q.M.H.A
1255 PEARL ST
EUGENE, OR 97401-3570
Phone number: 541-687-6983
Copy
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