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1225595572
JACKIE RENEE FOLLIS
SALEM, OR
NPI
1225595572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-22
Last Update Date
2023-11-30
Business Address
Mrs. JACKIE RENEE FOLLIS
750 FRONT ST NE
SALEM, OR 97301-1089
Phone number: 503-363-2021
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Mailing Address
Mrs. JACKIE RENEE FOLLIS
PO BOX 17818
SALEM, OR 97305-7818
Phone number: 503-363-2021
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