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1396002143
SEAN SOUZA
GRANTS PASS, OR
NPI
1396002143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2012-04-18
Last Update Date
2012-04-18
Business Address
-- SEAN SOUZA
210 TACOMA ST
GRANTS PASS, OR 97526-9370
Phone number: 154-147-6330
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Mailing Address
-- SEAN SOUZA
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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