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1982260113
HOLLY BLOCK
ROSEBURG, OR
NPI
1982260113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR R6746)
Enumeration Date
2019-05-13
Last Update Date
2022-08-03
Business Address
HOLLY BLOCK MA, NCC
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
HOLLY BLOCK MA, NCC
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
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