AMANDA LOUISE FRAGA

REDMOND, OR
NPI1710228572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-12-03)
Enumeration Date2013-03-04
Last Update Date2013-03-04
Business Address
-- AMANDA LOUISE FRAGA CADC I
676 NE NEGUS WAY
REDMOND, OR 97756-8527
Phone number: 541-516-4087
Mailing Address
-- AMANDA LOUISE FRAGA CADC I
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087
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