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1245576172
KASANDRA LEANNE LOPEZ
CORVALLIS, OR
NPI
1245576172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
Ms. KASANDRA LEANNE LOPEZ
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
Ms. KASANDRA LEANNE LOPEZ
550 SE MAYBERRY AVE
CORVALLIS, OR 97333-1866
Phone number: 541-224-3560
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