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1649382623
SUE LESLIE WAITE
ROSEBURG, OR
NPI
1649382623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 1135)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- SUE LESLIE WAITE lcsw
270 SE PINE ST
ROSEBURG, OR 97470-3130
Phone number: 541-672-5100
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Mailing Address
-- SUE LESLIE WAITE lcsw
270 SE PINE ST
ROSEBURG, OR 97470-3130
Phone number: 541-672-5100
Copy
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