SHELLY GREENE

GRANTS PASS, OR
NPI1952046138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-1562)
Enumeration Date2022-05-02
Last Update Date2022-05-02
Business Address
SHELLY GREENE CADC/R
109 NE MANZANITA AVE
GRANTS PASS, OR 97526-1400
Phone number: 541-476-2373
Mailing Address
SHELLY GREENE CADC/R
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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