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1700057205
SHAYE DICKENSON
PENDLETON, OR
NPI
1700057205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-12
Last Update Date
2019-03-13
Business Address
SHAYE DICKENSON
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801-0048
Phone number: 541-278-6330
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Mailing Address
SHAYE DICKENSON
1100 K AVE
LA GRANDE, OR 97850-2131
Phone number: 541-962-8800
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