SHANTELL MARIE EXE

SPRINGFIELD, OR
NPI1417210915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-06-19
Last Update Date2012-06-19
Business Address
MISS SHANTELL MARIE EXE
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Mailing Address
MISS SHANTELL MARIE EXE
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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