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1487232476
LORI L GUIDICATTIEVANS
SALEM, OR
NPI
1487232476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 21-01-10031)
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
Mrs. LORI L GUIDICATTIEVANS CADC 1
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 844-494-5105
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Mailing Address
Mrs. LORI L GUIDICATTIEVANS CADC 1
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 844-494-5105
Copy
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