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1215249081
LYNETTE CAREEN BLOOM
SALEM, OR
NPI
1215249081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-06-02)
Enumeration Date
2010-07-09
Last Update Date
2024-04-02
Business Address
LYNETTE CAREEN BLOOM CADC I
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301-1036
Phone number: 503-983-9900
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Mailing Address
LYNETTE CAREEN BLOOM CADC I
1332 HAWK DR
CENTRAL POINT, OR 97502-3567
Phone number:
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