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1225753239
LESLIE ELLEN HAVNER
EUGENE, OR
NPI
1225753239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR M5488)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
LESLIE ELLEN HAVNER LMSW
4725 VILLAGE PLAZA LOOP
EUGENE, OR 97401-6677
Phone number: 541-603-7930
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Mailing Address
LESLIE ELLEN HAVNER LMSW
47776 W 2ND ST
OAKRIDGE, OR 97463-9731
Phone number: 219-406-3177
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