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1528658176
AMANDA MARIE FARNSWORTH
SALEM, OR
NPI
1528658176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
AMANDA MARIE FARNSWORTH
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-339-4974
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Mailing Address
AMANDA MARIE FARNSWORTH
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-339-4974
Copy
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