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1316214174
MELISSA MARIE GOMSRUD
EUGENE, OR
NPI
1316214174
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Former Name
MELISSA MARIE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C1466)
Enumeration Date
2011-11-22
Last Update Date
2019-08-15
Business Address
Mrs. MELISSA MARIE GOMSRUD LPC, NCC
1034 LAWRENCE ST
EUGENE, OR 97401-3440
Phone number: 541-222-9724
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Mailing Address
Mrs. MELISSA MARIE GOMSRUD LPC, NCC
30 E 33RD AVE UNIT 51441
EUGENE, OR 97405-6623
Phone number: 541-222-9724
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