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1881348126
YETIVA RENEA PRATHER
GRANTS PASS, OR
NPI
1881348126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
YETIVA RENEA PRATHER MSW
1545 HARBECK RD
GRANTS PASS, OR 97527-5605
Phone number: 541-476-2373
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Mailing Address
YETIVA RENEA PRATHER MSW
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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