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1679932594
LISA COSSITT
DALLAS, OR
NPI
1679932594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-19
Last Update Date
2024-10-22
Business Address
LISA COSSITT
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
LISA COSSITT
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Copy
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