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1902101066
SUSAN DESANTIS MARION
MEDFORD, OR
NPI
1902101066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1923)
Enumeration Date
2011-01-21
Last Update Date
2011-01-21
Business Address
Ms. SUSAN DESANTIS MARION LPC
1005 EAST MAIN STREET JACKSON COUNTY MENTAL HEALTH
MEDFORD, OR 97504
Phone number: 541-774-7890
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Mailing Address
Ms. SUSAN DESANTIS MARION LPC
1005 EAST MAIN ST. JACKSON COUNTY MENTAL HEALTH
MEDFORD, OR 97504
Phone number: 541-774-7890
Copy
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