LESLIE ELVA PROUGH STAINBROOK

SALEM, OR
NPI1659571230
Former NameLESLIE ELVA PROUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-07-20
Last Update Date2007-07-20
Business Address
-- LESLIE ELVA PROUGH STAINBROOK QMHP
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-361-2642
Mailing Address
-- LESLIE ELVA PROUGH STAINBROOK QMHP
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-361-2642
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