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1811535214
MADELINE LEE ROACH
GRANTS PASS, OR
NPI
1811535214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-16
Last Update Date
2020-01-06
Business Address
MADELINE LEE ROACH
324 SW RAMSEY AVE
GRANTS PASS, OR 97527-5529
Phone number: 541-476-2373
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Mailing Address
MADELINE LEE ROACH
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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