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1871114793
LOLA WHITE PSYD LLC
SALEM, OR
NPI
1871114793
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Entity Type
Organization
Authorized Contact
LAURA WHITE
Owner
503-917-9623
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
LOLA WHITE PSYD LLC
388 STATE ST STE 704
SALEM, OR 97301-4023
Phone number: 503-917-9623
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Mailing Address
LOLA WHITE PSYD LLC
388 STATE ST STE 704
SALEM, OR 97301-4023
Phone number: 503-917-9623
Copy
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