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1972935047
CARLA LUNDBLADE
MEDFORD, OR
NPI
1972935047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2874)
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- CARLA LUNDBLADE MS LPC NCC
14 COTTAGE ST
MEDFORD, OR 97504-7332
Phone number: 541-951-9517
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Mailing Address
-- CARLA LUNDBLADE MS LPC NCC
14 COTTAGE ST
MEDFORD, OR 97504-7332
Phone number: 541-951-9517
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