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1366835753
ROXANNE CLARKE
SALEM, OR
NPI
1366835753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13R-11)
Enumeration Date
2015-03-10
Last Update Date
2015-03-10
Business Address
-- ROXANNE CLARKE
3871 FAIRVIEW INDUSTRIAL DR SE
SALEM, OR 97302-1180
Phone number: 503-391-9762
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Mailing Address
-- ROXANNE CLARKE
3871 FAIRVIEW INDUSTRIAL DR SE
SALEM, OR 97302-1180
Phone number: 503-391-9762
Copy
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