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1639179302
MARY ALISA SUTHERLAND
KLAMATH FALLS, OR
NPI
1639179302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C-6446)
Enumeration Date
2005-07-26
Last Update Date
2007-07-08
Business Address
-- MARY ALISA SUTHERLAND LPC
3949 S 6TH ST
KLAMATH FALLS, OR 97603-4746
Phone number: 800-552-6290
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Mailing Address
-- MARY ALISA SUTHERLAND LPC
3949 S 6TH ST
KLAMATH FALLS, OR 97603-4746
Phone number: 800-552-6290
Copy
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