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1871031336
ANDREA DESHA
BEND, OR
NPI
1871031336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C4408)
Enumeration Date
2017-02-05
Last Update Date
2017-02-05
Business Address
Mrs. ANDREA DESHA LPC
25 NW PARK PL
BEND, OR 97703-2954
Phone number: 541-640-9888
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Mailing Address
Mrs. ANDREA DESHA LPC
25 NW PARK PL
BEND, OR 97703-2954
Phone number: 541-640-9888
Copy
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