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1396375663
MIKKI PROFFITT
SANDY, OR
NPI
1396375663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR CADCI)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
MIKKI PROFFITT CADCI
19595 SE MARTIN RD
SANDY, OR 97055-8241
Phone number: 541-306-1254
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Mailing Address
MIKKI PROFFITT CADCI
PO BOX 1825
ESTACADA, OR 97023-1825
Phone number: 541-306-1254
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