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1174170187
MIKEL-ANNE DEVINE
DALLAS, OR
NPI
1174170187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-23
Last Update Date
2024-10-23
Business Address
MIKEL-ANNE DEVINE CADC I
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
MIKEL-ANNE DEVINE CADC I
1201 SW BRYSON ST
DALLAS, OR 97338-1360
Phone number: 503-496-2889
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