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1801308176
CAROL LYNN WHITAKER
MEDFORD, OR
NPI
1801308176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4840)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
Mrs. CAROL LYNN WHITAKER L.C.S.W
1911 UNITED WAY
MEDFORD, OR 97504-4970
Phone number: 541-301-7030
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Mailing Address
Mrs. CAROL LYNN WHITAKER L.C.S.W
2198 E MCANDREWS RD
MEDFORD, OR 97504-5579
Phone number: 541-301-7030
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