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1407504418
KATIE LONGSHORE
DALLAS, OR
NPI
1407504418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-03-17
Last Update Date
2024-05-28
Business Address
KATIE LONGSHORE QMHA, CRM II, PSS
182 SW ACADEMY ST STE 333
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
KATIE LONGSHORE QMHA, CRM II, PSS
1960 SE GODSEY RD
DALLAS, OR 97338-2737
Phone number: 971-612-1578
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