SHAWNTAE MARIE WARDELL

COOS BAY, OR
NPI1780455154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-01-12
Last Update Date2024-01-12
Business Address
SHAWNTAE MARIE WARDELL
1885 THOMPSON RD
COOS BAY, OR 97420-2152
Phone number: 541-266-8480
Mailing Address
SHAWNTAE MARIE WARDELL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-266-8480
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