DESIREE MIA SIMON

CORVALLIS, OR
NPI1558569046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  930386966)
Enumeration Date2007-07-05
Last Update Date2007-07-08
Business Address
-- DESIREE MIA SIMON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-757-1852
Mailing Address
-- DESIREE MIA SIMON
1535 SALMON RUN SW
ALBANY, OR 97321
Phone number: 541-967-0254
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