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1841767068
TREVA LYNN LESLIE
NEWPORT, OR
NPI
1841767068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-25
Last Update Date
2019-01-30
Business Address
TREVA LYNN LESLIE QMHP
51 SW LEE ST
NEWPORT, OR 97365-3823
Phone number: 541-574-5960
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Mailing Address
TREVA LYNN LESLIE QMHP
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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