ELISABETH JOY GOUGE

SALEM, OR
NPI1811513195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-06-22
Last Update Date2020-06-22
Business Address
ELISABETH JOY GOUGE
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
Mailing Address
ELISABETH JOY GOUGE
PO BOX 4169
SALEM, OR 97302-8169
Phone number: 503-371-4160
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