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1841742640
LORI WILSON
COBURG, OR
NPI
1841742640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-08-18)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
-- LORI WILSON CADC I
91150 COBURG INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-284-5740
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Mailing Address
-- LORI WILSON CADC I
91150 COBURG INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-284-5740
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