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1831817055
BLUE IRIS RIVER COUNSELING LLC
SALEM, OR
NPI
1831817055
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Entity Type
Organization
Authorized Contact
TERRY BANTA
Social Worker
503-559-8831
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-08-15
Last Update Date
2022-08-16
Business Address
BLUE IRIS RIVER COUNSELING LLC
2460 4TH ST NE
SALEM, OR 97301-8332
Phone number: 503-559-8831
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Mailing Address
BLUE IRIS RIVER COUNSELING LLC
2460 4TH ST NE
SALEM, OR 97301-8332
Phone number:
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