SUSAN PROUTY

ROSEBURG, OR
NPI1467998369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies247200000X Technician, Other
Enumeration Date2017-01-16
Last Update Date2024-01-10
Business Address
SUSAN PROUTY
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
Mailing Address
SUSAN PROUTY
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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