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1467764134
ELIZABETH NOAMI LONG
MEDFORD, OR
NPI
1467764134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 95-R-10)
Enumeration Date
2010-07-09
Last Update Date
2023-04-06
Business Address
ELIZABETH NOAMI LONG CADC II
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-842-7705
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Mailing Address
ELIZABETH NOAMI LONG CADC II
1000 E MAIN ST
MEDFORD, OR 97504-7667
Phone number: 541-773-3863
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