AMANDA KRUG

MEDFORD, OR
NPI1184081788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-06-78)
Enumeration Date2016-01-27
Last Update Date2016-01-27
Business Address
-- AMANDA KRUG
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
Mailing Address
-- AMANDA KRUG
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
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