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1952995656
AMANDA LEE ELWOOD
GRANTS PASS, OR
NPI
1952995656
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Other Name
AMANDA LEE MOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
AMANDA LEE ELWOOD QMHA
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
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Mailing Address
AMANDA LEE ELWOOD QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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