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1174120141
SOPHIA R DILLINGHAM
CORVALLIS, OR
NPI
1174120141
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Former Name
SOPHIA R SHORTEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-10-02
Last Update Date
2023-12-05
Business Address
SOPHIA R DILLINGHAM MA QMHP-R
1650 SW 45TH PL
CORVALLIS, OR 97333-1768
Phone number: 541-757-8068
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Mailing Address
SOPHIA R DILLINGHAM MA QMHP-R
1650 SW 45TH PL
CORVALLIS, OR 97333-1768
Phone number: 541-757-8068
Copy
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