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1720448731
ULRIKE ELIZABETH OTTENBREIT
ROSEBURG, OR
NPI
1720448731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 02-03-39)
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
Mrs. ULRIKE ELIZABETH OTTENBREIT CADCII,CGACT
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
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Mailing Address
Mrs. ULRIKE ELIZABETH OTTENBREIT CADCII,CGACT
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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