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1255700936
MARY SELKEN
ROSEBURG, OR
NPI
1255700936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-11-10)
Enumeration Date
2015-09-23
Last Update Date
2021-06-16
Business Address
MARY SELKEN CADC
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0191
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Mailing Address
MARY SELKEN CADC
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-492-0191
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