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1588494017
STEPHANIE P. CERVANTES
SALEM, OR
NPI
1588494017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3873)
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
STEPHANIE P. CERVANTES CADC-R
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
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Mailing Address
STEPHANIE P. CERVANTES CADC-R
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
Copy
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