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1366019077
SHALENE WEDNESDAY WALTON
ROSEBURG, OR
NPI
1366019077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-10
Last Update Date
2024-09-17
Business Address
SHALENE WEDNESDAY WALTON
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
SHALENE WEDNESDAY WALTON
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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