DAVID IRVING WADSWORTH

COBURG, OR
NPI1992200810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  18-03-06)
Enumeration Date2018-03-25
Last Update Date2018-03-25
Business Address
MR. DAVID IRVING WADSWORTH CADC 1
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-284-5670
Mailing Address
MR. DAVID IRVING WADSWORTH CADC 1
2074 BONNIE LN
SPRINGFIELD, OR 97477-6507
Phone number: 541-359-8781
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