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1871295022
SAMAR AZAM FAROOQUI
ROSEBURG, OR
NPI
1871295022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
SAMAR AZAM FAROOQUI
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
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Mailing Address
SAMAR AZAM FAROOQUI
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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