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1356439970
IVAN KENT SUMNER
EUGENE, OR
NPI
1356439970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 1487)
Enumeration Date
2006-10-10
Last Update Date
2010-12-09
Business Address
-- IVAN KENT SUMNER LCSW
1524 WILLAMETTE ST SUITE 101
EUGENE, OR 97401-4093
Phone number: 541-515-2009
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Mailing Address
-- IVAN KENT SUMNER LCSW
1524 WILLAMETTE ST SUITE 101
EUGENE, OR 97401-4093
Phone number: 541-515-2009
Copy
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