MARY JANE IIDA

SPRINGFIELD, OR
NPI1275991077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  18-04-15)
Enumeration Date2016-02-08
Last Update Date2019-03-19
Business Address
MARY JANE IIDA CADC II
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-762-4532
Mailing Address
MARY JANE IIDA CADC II
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4148
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