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1407034929
STACEY LYNN WHITE
SALEM, OR
NPI
1407034929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
Mrs. STACEY LYNN WHITE CADC-II, B.S.
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
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Mailing Address
Mrs. STACEY LYNN WHITE CADC-II, B.S.
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
Copy
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