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1467998369
SUSAN PROUTY
ROSEBURG, OR
NPI
1467998369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2017-01-16
Last Update Date
2024-01-10
Business Address
SUSAN PROUTY
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
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Mailing Address
SUSAN PROUTY
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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