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1205155645
GREG CLAYTON TILLMAN-WHITE
ROSEBURG, OR
NPI
1205155645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1764)
Enumeration Date
2010-05-25
Last Update Date
2010-05-25
Business Address
-- GREG CLAYTON TILLMAN-WHITE LPC
1376 NE WALNUT ST
ROSEBURG, OR 97470-2242
Phone number: 541-784-8224
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Mailing Address
-- GREG CLAYTON TILLMAN-WHITE LPC
2630 AUSTIN RD
ROSEBURG, OR 97471-4512
Phone number:
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