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1245873918
PERRY COLLONGE
ASHLAND, OR
NPI
1245873918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T1285)
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
PERRY COLLONGE MA, LMFT
408 N LAUREL ST
ASHLAND, OR 97520-1113
Phone number: 408-656-1219
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Mailing Address
PERRY COLLONGE MA, LMFT
408 N LAUREL ST
ASHLAND, OR 97520-1113
Phone number: 408-656-1219
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