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1679241376
MELISSA MARIE SMITH
COOS BAY, OR
NPI
1679241376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A12708)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
MELISSA MARIE SMITH CSWA, QMHP-R
833 ANDERSON AVE STE 6
COOS BAY, OR 97420-4641
Phone number: 541-286-6238
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Mailing Address
MELISSA MARIE SMITH CSWA, QMHP-R
1037 NOBLE AVE
COOS BAY, OR 97420-3130
Phone number: 541-294-6593
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