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1619047230
STACY JO BRUBAKER
MEDFORD, OR
NPI
1619047230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 1350033502)
Enumeration Date
2006-11-09
Last Update Date
2014-12-22
Business Address
-- STACY JO BRUBAKER CSW
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
-- STACY JO BRUBAKER CSW
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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