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1487957106
CODY CHARLES CHASE
UMATILLA, OR
NPI
1487957106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-20
Last Update Date
2010-12-20
Business Address
Mr. CODY CHARLES CHASE MSW
290 WILLAMETTE ST
UMATILLA, OR 97882-6601
Phone number: 541-922-6226
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Mailing Address
Mr. CODY CHARLES CHASE MSW
1911 W 6TH
KENNEWIDK, WA 99336
Phone number: 541-922-6226
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