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1326771163
SHALAH COLLICOTT
COOS BAY, OR
NPI
1326771163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
SHALAH COLLICOTT
2020 THOMPSON RD
COOS BAY, OR 97420-2041
Phone number: 541-956-4943
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Mailing Address
SHALAH COLLICOTT
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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