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1982074647
JOSEPH T STEVENS
CLACKAMAS, OR
NPI
1982074647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
JOSEPH T STEVENS
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
JOSEPH T STEVENS
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
Copy
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