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1730706417
ALEXIS VON EGIDY
EUGENE, OR
NPI
1730706417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-20-147)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
ALEXIS VON EGIDY CADC-R
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
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Mailing Address
ALEXIS VON EGIDY CADC-R
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
Copy
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