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1497112130
CAROL WILCOX
WHITE CITY, OR
NPI
1497112130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 05-11-92)
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
-- CAROL WILCOX
3131 AVENUE C
WHITE CITY, OR 97503-1443
Phone number: 541-864-8701
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Mailing Address
-- CAROL WILCOX
3131 AVENUE C
WHITE CITY, OR 97503-1443
Phone number: 541-864-8701
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