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1962464735
MICHAEL P BEAVER
SALEM, OR
NPI
1962464735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 717)
Enumeration Date
2006-04-05
Last Update Date
2016-12-21
Business Address
Mr. MICHAEL P BEAVER LCSW
2367 STATE ST SUITE 100
SALEM, OR 97301-4541
Phone number: 503-540-3442
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Mailing Address
Mr. MICHAEL P BEAVER LCSW
2367 STATE ST SUITE 100
SALEM, OR 97301-4541
Phone number: 503-540-3442
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