TANYA ROSE FOUNTAIN

SALEM, OR
NPI1235338559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L11657)
Enumeration Date2007-07-16
Last Update Date2024-01-26
Business Address
TANYA ROSE FOUNTAIN
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301-3463
Phone number: 971-599-3881
Mailing Address
TANYA ROSE FOUNTAIN
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301-3463
Phone number: 971-599-3881
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