LEOLA ADELINE BURKETT

GOLD BEACH, OR
NPI1649935941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-11-02
Last Update Date2022-09-07
Business Address
LEOLA ADELINE BURKETT QMHP-R
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Phone number: 541-671-0535
Mailing Address
LEOLA ADELINE BURKETT QMHP-R
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-671-0515
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