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1407607369
NICOLE RENE J STAFFORD
ROSEBURG, OR
NPI
1407607369
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Former Name
NICOLE RENE J LACASSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A15038)
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
Mrs. NICOLE RENE J STAFFORD MSW, CSWA
2001 NW NEWCASTLE ST
ROSEBURG, OR 97471-1657
Phone number: 541-492-2087
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Mailing Address
Mrs. NICOLE RENE J STAFFORD MSW, CSWA
582 GLENGARY LOOP RD
ROSEBURG, OR 97470-8442
Phone number: 425-870-2523
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