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1285169292
LISA BRADY
DALLAS, OR
NPI
1285169292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-27
Last Update Date
2024-10-22
Business Address
LISA BRADY
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
LISA BRADY
1519 KELLY ST NE
KEIZER, OR 97303-2062
Phone number: 503-930-8345
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