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1295048585
SUSAN LYNN MUNDIGEL
PORTLAND, OR
NPI
1295048585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR CADCI 10-03-25)
Enumeration Date
2010-07-15
Last Update Date
2010-07-15
Business Address
-- SUSAN LYNN MUNDIGEL CADCI
16141 E BURNSIDE ST
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
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Mailing Address
-- SUSAN LYNN MUNDIGEL CADCI
16141 E BURNSIDE ST
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
Copy
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