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1912923848
GAYLE D GOLDBLATT
COOS BAY, OR
NPI
1912923848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3121)
Enumeration Date
2006-07-14
Last Update Date
2013-08-01
Business Address
-- GAYLE D GOLDBLATT lcsw
1957 THOMPSON RD
COOS BAY, OR 97420-2040
Phone number: 541-266-8575
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Mailing Address
-- GAYLE D GOLDBLATT lcsw
1957 THOMPSON RD
COOS BAY, OR 97420-2040
Phone number: 541-266-8575
Copy
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