BRANDY LYNN BLACKWELL

COBURG, OR
NPI1639716525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  19-P-15)
Enumeration Date2019-12-10
Last Update Date2019-12-10
Business Address
BRANDY LYNN BLACKWELL CADC 1
91150 N COBURG INDUSTRIAL WAY
COBURG, OR 97408-1313
Phone number: 541-284-5673
Mailing Address
BRANDY LYNN BLACKWELL CADC 1
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-284-5673
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