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1982061578
JUDI WILLINGHAM
MEDFORD, OR
NPI
1982061578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 96-10-174)
Enumeration Date
2016-01-27
Last Update Date
2016-01-27
Business Address
-- JUDI WILLINGHAM
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
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Mailing Address
-- JUDI WILLINGHAM
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
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