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1225280753
JASON WILCOX
ROSEBURG, OR
NPI
1225280753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L13627)
Enumeration Date
2008-10-15
Last Update Date
2024-08-28
Business Address
Mr. JASON WILCOX LCSW
3806 TILLICUM LN
ROSEBURG, OR 97471-2271
Phone number: 541-900-8244
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Mailing Address
Mr. JASON WILCOX LCSW
3806 TILLICUM LN
ROSEBURG, OR 97471-2271
Phone number: 541-900-8244
Copy
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