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1508921867
JOHN DANIEL LEACH
SALEM, OR
NPI
1508921867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Mr. JOHN DANIEL LEACH QMHP
1073 OAK ST SE
SALEM, OR 97301-4018
Phone number: 503-585-4949
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Mailing Address
Mr. JOHN DANIEL LEACH QMHP
510 LIVINGOOD LN
LAKE OSWEGO, OR 97034-5961
Phone number: 503-697-6880
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