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1912740143
SHANNON MARIE THAYER
ALBANY, OR
NPI
1912740143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 23-CRM-2055)
Enumeration Date
2024-06-15
Last Update Date
2024-06-15
Business Address
SHANNON MARIE THAYER
506 FERRY ST SW
ALBANY, OR 97321-2322
Phone number: 541-990-9786
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Mailing Address
SHANNON MARIE THAYER
1625 SHERMAN ST SE
ALBANY, OR 97322-6670
Phone number: 541-990-9786
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