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1427386630
LAURIE L. THEODOROU
MEDFORD, OR
NPI
1427386630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3373)
Enumeration Date
2009-11-28
Last Update Date
2009-11-28
Business Address
Ms. LAURIE L. THEODOROU LCSW
724 S CENTRAL AVE SUITE 214
MEDFORD, OR 97501-7851
Phone number: 541-858-7916
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Mailing Address
Ms. LAURIE L. THEODOROU LCSW
724 S CENTRAL AVE SUITE 214
MEDFORD, OR 97501-7851
Phone number: 541-858-7916
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