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1760986061
KELLY LYNN JEFFRIES
MEDFORD, OR
NPI
1760986061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-05-16)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
KELLY LYNN JEFFRIES AAS,CADC II
221 W MAIN ST
MEDFORD, OR 97501-2728
Phone number: 541-200-2401
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Mailing Address
KELLY LYNN JEFFRIES AAS,CADC II
221 W MAIN ST
MEDFORD, OR 97501-2728
Phone number: 541-200-2401
Copy
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