TOVAH POTTER

BAKER CITY, OR
NPI1659719896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  11-12-57)
Enumeration Date2013-06-10
Last Update Date2013-06-10
Business Address
TOVAH POTTER CADC I
3680 MIDWAY DR
BAKER CITY, OR 97814-1466
Phone number: 541-523-4049
Mailing Address
TOVAH POTTER CADC I
3680 MIDWAY DR
BAKER CITY, OR 97814-1466
Phone number: 541-523-4049
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