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1407287766
MELISSA CLAIRE GOODMAN
MCMINNVILLE, OR
NPI
1407287766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13-03-22)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
Ms. MELISSA CLAIRE GOODMAN
105 NE 8TH ST
MCMINNVILLE, OR 97128-4909
Phone number: 503-474-2024
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Mailing Address
Ms. MELISSA CLAIRE GOODMAN
105 NE 8TH ST P. O. BOX 1579
MCMINNVILLE, OR 97128-4909
Phone number: 503-474-2024
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