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1457850117
ESTHER LOUISE MORTENSEN
MEDFORD, OR
NPI
1457850117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
ESTHER LOUISE MORTENSEN
201 W MAIN ST
MEDFORD, OR 97501-2744
Phone number: 541-414-1720
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Mailing Address
ESTHER LOUISE MORTENSEN
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number: 541-414-1720
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