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1417361635
JENNIFER CHRISTINE STAI
CLACKAMAS, OR
NPI
1417361635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 15-05-24)
Enumeration Date
2014-06-16
Last Update Date
2016-11-15
Business Address
JENNIFER CHRISTINE STAI
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-9240
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Mailing Address
JENNIFER CHRISTINE STAI
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-9240
Copy
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