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1295107423
MARY ANN THERESA FABRY
SPRINGFIELD, OR
NPI
1295107423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 01-07-79)
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
Ms. MARY ANN THERESA FABRY CADCII
105 W Q ST STE 5
SPRINGFIELD, OR 97477-2188
Phone number: 541-510-2548
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Mailing Address
Ms. MARY ANN THERESA FABRY CADCII
PO BOX 1962 105 W Q STREET #5 SPRINGFIELD, OR 97477
EUGENE, OR 97440-1962
Phone number: 541-510-2548
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