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1194185314
AIMEE LYNNELLE CLARK
EUGENE, OR
NPI
1194185314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-08-21U)
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- AIMEE LYNNELLE CLARK BS CADCI
616 E 16TH AVE
EUGENE, OR 97401-4339
Phone number: 541-687-1110
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Mailing Address
-- AIMEE LYNNELLE CLARK BS CADCI
2171 AUGUSTA ST
EUGENE, OR 97403-3227
Phone number: 541-510-3270
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