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1346747045
SAMANTHA MITCHELL
COBURG, OR
NPI
1346747045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-02-06)
Enumeration Date
2018-04-09
Last Update Date
2021-02-16
Business Address
SAMANTHA MITCHELL CADC II
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
SAMANTHA MITCHELL CADC II
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Copy
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