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1881269819
AMANDA MITSENE WEDOFF
COBURG, OR
NPI
1881269819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-21
Last Update Date
2023-11-02
Business Address
AMANDA MITSENE WEDOFF CADC-1, QMHA-R
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-683-1110
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Mailing Address
AMANDA MITSENE WEDOFF CADC-1, QMHA-R
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-683-1110
Copy
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