DEIRDRAH RENEE RACINE

ROSEBURG, OR
NPI1437761301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  Intern)
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
DEIRDRAH RENEE RACINE QMHP
850 SE ROSE ST
ROSEBURG, OR 97470-3942
Phone number: 541-900-1506
Mailing Address
DEIRDRAH RENEE RACINE QMHP
850 SE ROSE ST
ROSEBURG, OR 97470-3942
Phone number: 541-900-1506
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