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1295096907
BRIAN TIMONTHY LONGWORTH
EUGENE, OR
NPI
1295096907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
Mr. BRIAN TIMONTHY LONGWORTH
1973 GARDEN AVE
EUGENE, OR 97403-1934
Phone number: 541-606-5446
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Mailing Address
Mr. BRIAN TIMONTHY LONGWORTH
2658 ATTICUS WAY
EUGENE, OR 97404-4405
Phone number: 541-606-5446
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