JENNIFER LYNNE DEATHERAGE

KLAMATH FALLS, OR
NPI1194363671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-16
Last Update Date2020-01-10
Business Address
JENNIFER LYNNE DEATHERAGE CADCI Intern
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Mailing Address
JENNIFER LYNNE DEATHERAGE CADCI Intern
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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