STACEY LYNN WHITE

SALEM, OR
NPI1407034929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-02-06
Last Update Date2008-02-06
Business Address
Mrs. STACEY LYNN WHITE CADC-II, B.S.
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
Mailing Address
Mrs. STACEY LYNN WHITE CADC-II, B.S.
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
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