STACY BURDICK

SALEM, OR
NPI1780399808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies374K00000X 
(Licence: FL  2054)
Enumeration Date2023-01-23
Last Update Date2023-02-14
Business Address
Dr. STACY BURDICK DM- BCC (2054)
1230 WESTWOOD DR NW
SALEM, OR 97304-3749
Phone number: 971-208-4663
Mailing Address
Dr. STACY BURDICK DM- BCC (2054)
1230 WESTWOOD DR NW
SALEM, OR 97304-3749
Phone number: 971-208-4663
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