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1851860902
JUNE E LOUDERBACK
MEDFORD, OR
NPI
1851860902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-R-24)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
JUNE E LOUDERBACK CADC II
16 S PEACH ST
MEDFORD, OR 97501-2945
Phone number: 541-326-4905
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Mailing Address
JUNE E LOUDERBACK CADC II
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-326-4905
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