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1467592568
KATHLEEN DEFURIA CALLERO
SALEM, OR
NPI
1467592568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 05-11-76)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN DEFURIA CALLERO CADCll
3000 MARKET ST NE SUITE 530
SALEM, OR 97301-1882
Phone number: 503-390-5637
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Mailing Address
Ms. KATHLEEN DEFURIA CALLERO CADCll
1270 21ST ST NE
SALEM, OR 97301-1514
Phone number: 503-364-6054
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