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1932471992
SUSAN MARIE STANTON
GLADSTONE, OR
NPI
1932471992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-02-06
Last Update Date
2016-08-29
Business Address
-- SUSAN MARIE STANTON CADC II
870 82ND DR BUILDING C
GLADSTONE, OR 97027-1803
Phone number: 503-659-5515
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Mailing Address
-- SUSAN MARIE STANTON CADC II
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5404
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