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1851779524
PHAEDRA D HARRIS
MEDFORD, OR
NPI
1851779524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-07-12)
Enumeration Date
2015-05-13
Last Update Date
2018-08-01
Business Address
PHAEDRA D HARRIS CADC I
1025 E MAIN ST
MEDFORD, OR 97504
Phone number: 541-779-1282
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Mailing Address
PHAEDRA D HARRIS CADC I
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-326-4905
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