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1235535097
COLLIN BRYANT WRIGHT
MILWAUKIE, OR
NPI
1235535097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- COLLIN BRYANT WRIGHT CADC I
17473 SE WALTA VISTA DR
MILWAUKIE, OR 97267-5542
Phone number: 503-929-1838
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Mailing Address
-- COLLIN BRYANT WRIGHT CADC I
17473 SE WALTA VISTA DR
MILWAUKIE, OR 97267-5542
Phone number: 503-929-1838
Copy
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