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1649785395
JESSICA L SMITH
PENDLETON, OR
NPI
1649785395
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Former Name
JESSICA L PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-04
Last Update Date
2018-09-24
Business Address
JESSICA L SMITH
2575 WESTGATE BLDG B
PENDLETON, OR 97801-9613
Phone number: 541-276-6330
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Mailing Address
JESSICA L SMITH
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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