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1598262446
JENNIFER CHRISTINA LISK
COBURG, OR
NPI
1598262446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-08
Last Update Date
2024-02-27
Business Address
Miss JENNIFER CHRISTINA LISK BSW; CADC-R
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-204-2704
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Mailing Address
Miss JENNIFER CHRISTINA LISK BSW; CADC-R
1 SERENITY LN
COBURG, OR 97408-9350
Phone number:
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