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1871617357
MICHAEL JOHN GROAT
SALEM, OR
NPI
1871617357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C3192)
Enumeration Date
2007-03-19
Last Update Date
2017-03-15
Business Address
Mr. MICHAEL JOHN GROAT MA, LPC
565 UNION ST NE
SALEM, OR 97301-2477
Phone number: 503-719-9489
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Mailing Address
Mr. MICHAEL JOHN GROAT MA, LPC
565 UNION ST NE
SALEM, OR 97301-2477
Phone number: 503-719-9489
Copy
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