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1740023746
DETRIS M ALLEN
SALEM, OR
NPI
1740023746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
Dr. DETRIS M ALLEN PhD
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 305-502-7796
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Mailing Address
Dr. DETRIS M ALLEN PhD
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 305-502-7796
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