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1215772371
CATHLEEN WALLACE
BEND, OR
NPI
1215772371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-23-2723)
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
CATHLEEN WALLACE
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844
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Mailing Address
CATHLEEN WALLACE
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844
Copy
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