SUSAN LYNN MUNDIGEL

PORTLAND, OR
NPI1295048585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  CADCI 10-03-25)
Enumeration Date2010-07-15
Last Update Date2010-07-15
Business Address
-- SUSAN LYNN MUNDIGEL CADCI
16141 E BURNSIDE ST
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
Mailing Address
-- SUSAN LYNN MUNDIGEL CADCI
16141 E BURNSIDE ST
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
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