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1730642430
CHEYENNE MAE SMITH
ROSEBURG, OR
NPI
1730642430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-09
Last Update Date
2024-04-09
Business Address
CHEYENNE MAE SMITH
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-900-8292
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Mailing Address
CHEYENNE MAE SMITH
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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