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1407168024
AMY WILSON
KLAMATH FALLS, OR
NPI
1407168024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-03-37)
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
-- AMY WILSON CADC-I
2555 MAIN ST
KLAMATH FALLS, OR 97601-2723
Phone number: 541-883-2795
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Mailing Address
-- AMY WILSON CADC-I
2555 MAIN ST
KLAMATH FALLS, OR 97601-2723
Phone number: 541-883-2795
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