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1164905253
GLENN WALTER DEVENEY
BEND, OR
NPI
1164905253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-03-13)
Enumeration Date
2018-09-13
Last Update Date
2021-09-01
Business Address
GLENN WALTER DEVENEY CADC I
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844
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Mailing Address
GLENN WALTER DEVENEY CADC I
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844
Copy
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