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1700352754
JULIA HUMPHREVILLE
SALEM, OR
NPI
1700352754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-P-20)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
JULIA HUMPHREVILLE
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-363-2021
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Mailing Address
JULIA HUMPHREVILLE
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-363-2021
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