KIMBERLY TABOR

ROSEBURG, OR
NPI1699286369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  17-P-14)
Enumeration Date2017-10-20
Last Update Date2017-10-20
Business Address
KIMBERLY TABOR
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
Mailing Address
KIMBERLY TABOR
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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