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1396002440
SILVIA C GONZALEZ
PRINEVILLE, OR
NPI
1396002440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-p-10)
Enumeration Date
2012-04-13
Last Update Date
2012-04-13
Business Address
-- SILVIA C GONZALEZ CADC I
550 NW 5TH ST 360 NW BEAVER ST
PRINEVILLE, OR 97754-1728
Phone number: 541-447-5521
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Mailing Address
-- SILVIA C GONZALEZ CADC I
550 NW 5TH ST 360 NW BEAVER ST
PRINEVILLE, OR 97754-1728
Phone number: 541-447-5521
Copy
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