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1972369296
LAYKEN NICOLE WOODARD
ROSEBURG, OR
NPI
1972369296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T243498)
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
LAYKEN NICOLE WOODARD
2575 NW KLINE ST
ROSEBURG, OR 97471-8827
Phone number: 541-673-3504
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Mailing Address
LAYKEN NICOLE WOODARD
2575 NW KLINE ST
ROSEBURG, OR 97471-8827
Phone number:
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