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1770785552
MARY THERESE FORTIER
ROSEBURG, OR
NPI
1770785552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2416)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- MARY THERESE FORTIER LCSW
230 W BERDINE ST 1813 W. HARVARD, SUITE 230
ROSEBURG, OR 97470-2203
Phone number: 541-440-3715
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Mailing Address
-- MARY THERESE FORTIER LCSW
230 W BERDINE ST 1813 W. HARVARD, SUITE 230
ROSEBURG, OR 97470-2203
Phone number: 541-440-3715
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