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1346746658
ASHLEY JESSICA MACK
SALEM, OR
NPI
1346746658
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Other Name
JESSICA MACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
ASHLEY JESSICA MACK
1520 PLAZA ST NW STE 150
SALEM, OR 97304-4658
Phone number: 503-585-3012
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Mailing Address
ASHLEY JESSICA MACK
11424 SW BULL MOUNTAIN RD APT 314
TIGARD, OR 97224-2979
Phone number: 408-483-5585
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