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1487201851
AMANDA M BLACK
EUGENE, OR
NPI
1487201851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
AMANDA M BLACK
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-505-5188
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Mailing Address
AMANDA M BLACK
1770 W 13TH AVE
EUGENE, OR 97402-3721
Phone number: 541-232-8626
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