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1700610516
CODI SANDRA GOSSMAN
MEDFORD, OR
NPI
1700610516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-08-26
Last Update Date
2024-11-15
Business Address
CODI SANDRA GOSSMAN CADC
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-821-9559
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Mailing Address
CODI SANDRA GOSSMAN CADC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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