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1588221444
JENNIFER RANDOLPH
MILWAUKIE, OR
NPI
1588221444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-24
Last Update Date
2019-05-24
Business Address
JENNIFER RANDOLPH CADC-II, CIP, CAI-II
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222-7428
Phone number: 855-770-0577
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Mailing Address
JENNIFER RANDOLPH CADC-II, CIP, CAI-II
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222-7428
Phone number: 855-770-0577
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