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1376623421
TRACI M WENDELL
CORVALLIS, OR
NPI
1376623421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 110504)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- TRACI M WENDELL LICSW
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6171
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Mailing Address
-- TRACI M WENDELL LICSW
530 NW 27TH ST P.O. BOX 579
CORVALLIS, OR 97330-5223
Phone number: 541-766-6171
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