SUSAN RAE MASOG

LEBANON, OR
NPI1225207244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  04-11-19)
Enumeration Date2008-02-23
Last Update Date2008-02-23
Business Address
-- SUSAN RAE MASOG BS,CADC1
740 W AIRWAY RD
LEBANON, OR 97355-1337
Phone number: 541-451-5617
Mailing Address
-- SUSAN RAE MASOG BS,CADC1
740 W AIRWAY RD
LEBANON, OR 97355-1337
Phone number: 541-451-5617
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