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1811305717
MARY CHAMBERS
GOLD BEACH, OR
NPI
1811305717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 100306)
Enumeration Date
2014-07-24
Last Update Date
2014-07-24
Business Address
-- MARY CHAMBERS CADCI
29821 COLVIN ST.
GOLD BEACH, OR 97444
Phone number: 541-247-4082
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Mailing Address
-- MARY CHAMBERS CADCI
94235 MOORE ST SUITE 121
GOLD BEACH, OR 97444-9699
Phone number: 541-247-4082
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