SUSAN D FORDICE

PENDLETON, OR
NPI1487081394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2013-10-09
Last Update Date2013-10-09
Business Address
-- SUSAN D FORDICE
2013 SW OLSON AVE
PENDLETON, OR 97801-4421
Phone number: 541-240-1446
Mailing Address
-- SUSAN D FORDICE
2013 SW OLSON
PENDLETON, OR 97801
Phone number: 541-240-1446
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