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1851420749
WANDA E. CLARKSON
MEDFORD, OR
NPI
1851420749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C0027)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mrs. WANDA E. CLARKSON LPC
714 E JACKSON ST
MEDFORD, OR 97504-6712
Phone number: 541-734-9395
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Mailing Address
Mrs. WANDA E. CLARKSON LPC
3637 OLD STAGE RD
CENTRAL POINT, OR 97502-1137
Phone number: 541-734-9395
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