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1235854167
JACQUELYN C LANCOUR
SALEM, OR
NPI
1235854167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
Mrs. JACQUELYN C LANCOUR CADC-R
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-854-0157
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Mailing Address
Mrs. JACQUELYN C LANCOUR CADC-R
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-854-0157
Copy
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