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1811171895
MARIA A CONNOLLY
ASHLAND, OR
NPI
1811171895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C1762)
Enumeration Date
2007-12-26
Last Update Date
2013-10-29
Business Address
Mrs. MARIA A CONNOLLY LPC
385 E MAIN ST STE 1
ASHLAND, OR 97520-1834
Phone number: 541-973-9673
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Mailing Address
Mrs. MARIA A CONNOLLY LPC
385 E MAIN ST STE 1 BILLING/CREDENTIALING PO BOX 503010
ASHLAND, OR 97520-1834
Phone number: 541-973-9673
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