LAWRENCE SQUIEMPHEN

MADRAS, OR
NPI1669948857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-17-163)
Enumeration Date2018-10-16
Last Update Date2019-03-13
Business Address
Mr. LAWRENCE SQUIEMPHEN CADC I
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-306-4566
Mailing Address
Mr. LAWRENCE SQUIEMPHEN CADC I
1435 NE 4TH ST STE B
BEND, OR 97701-4268
Phone number: 541-306-4446
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