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1588057004
CARMEN HEIDECKE
SALEM, OR
NPI
1588057004
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Former Name
CARMEN HUX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4060)
Enumeration Date
2015-03-08
Last Update Date
2016-04-18
Business Address
-- CARMEN HEIDECKE CRC, LPC
4347 SUNNYVIEW RD. NE
SALEM, OR 97305
Phone number: 541-956-4943
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Mailing Address
-- CARMEN HEIDECKE CRC, LPC
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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