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1851758783
CRYSTAL ROXANNE LEE
GRANTS PASS, OR
NPI
1851758783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-09-25)
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
Mrs. CRYSTAL ROXANNE LEE CADC I, MATC, CAPMS
418 NW 6TH ST
GRANTS PASS, OR 97526-2006
Phone number: 541-474-1033
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Mailing Address
Mrs. CRYSTAL ROXANNE LEE CADC I, MATC, CAPMS
418 NW 6TH ST
GRANTS PASS, OR 97526-2006
Phone number: 541-474-1033
Copy
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