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1356625149
DAVIDE JEANETTE COSTLEY
COTTAGE GROVE, OR
NPI
1356625149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4859)
Enumeration Date
2011-09-28
Last Update Date
2018-05-15
Business Address
DAVIDE JEANETTE COSTLEY MA, LPC
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Phone number: 541-942-3939
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Mailing Address
DAVIDE JEANETTE COSTLEY MA, LPC
6374 F ST
SPRINGFIELD, OR 97478-7084
Phone number: 547-747-1235
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