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1467905489
KAY TANNER
ROSEBURG, OR
NPI
1467905489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-09-48)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
-- KAY TANNER CADC l
2575 NW KLINE ST
ROSEBURG, OR 97471-8827
Phone number: 541-673-3504
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Mailing Address
-- KAY TANNER CADC l
2575 NW KLINE ST
ROSEBURG, OR 97471-8827
Phone number: 541-673-3504
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