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1952678419
MICHAEL B HINES
MEDFORD, OR
NPI
1952678419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 4371)
Enumeration Date
2011-11-28
Last Update Date
2019-04-26
Business Address
Mr. MICHAEL B HINES LCSW
10 CRATER LAKE AVE STE 26
MEDFORD, OR 97504-7445
Phone number: 541-414-7257
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Mailing Address
Mr. MICHAEL B HINES LCSW
10 CRATER LAKE AVE STE 26
MEDFORD, OR 97504-7445
Phone number: 541-414-7257
Copy
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