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1831712405
LESA WOLFE
ROSEBURG, OR
NPI
1831712405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
LESA WOLFE
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-672-2691
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Mailing Address
LESA WOLFE
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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