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1457419384
HEATHER E GROTT
CORVALLIS, OR
NPI
1457419384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 99-11-16)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- HEATHER E GROTT CADC II
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- HEATHER E GROTT CADC II
PO BOX 579
CORVALLIS, OR 97339-0579
Phone number: 541-766-6835
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