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1356499842
SAM TALLMAN
WHEELER, OR
NPI
1356499842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 2057)
Enumeration Date
2007-01-08
Last Update Date
2014-03-18
Business Address
-- SAM TALLMAN LCSW
855 3RD STREET
WHEELER, OR 97147-9999
Phone number: 150-336-8686
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Mailing Address
-- SAM TALLMAN LCSW
PO BOX 178
MANZANITA, OR 97130-0178
Phone number: 150-336-8686
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