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1316509359
LEWIS REID THURSTON
SALEM, OR
NPI
1316509359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-06-29
Last Update Date
2022-10-31
Business Address
LEWIS REID THURSTON BA
780 COMMERCIAL ST SE STE 104
SALEM, OR 97301-3465
Phone number: 971-901-2731
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Mailing Address
LEWIS REID THURSTON BA
10709 NE FOX FARM RD
DUNDEE, OR 97115-9119
Phone number: 503-537-1166
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