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1528647286
STEPHEN SPEED
ALOHA, OR
NPI
1528647286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-19-214)
Enumeration Date
2021-04-07
Last Update Date
2024-09-20
Business Address
STEPHEN SPEED CADC I
4585 SW 185TH AVE
ALOHA, OR 97078-1557
Phone number: 503-591-9280
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Mailing Address
STEPHEN SPEED CADC I
4585 SW 185TH AVE
ALOHA, OR 97078-1557
Phone number: 503-591-9280
Copy
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