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1992200810
DAVID IRVING WADSWORTH
COBURG, OR
NPI
1992200810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-03-06)
Enumeration Date
2018-03-25
Last Update Date
2018-03-25
Business Address
Mr. DAVID IRVING WADSWORTH CADC 1
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-284-5670
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Mailing Address
Mr. DAVID IRVING WADSWORTH CADC 1
2074 BONNIE LN
SPRINGFIELD, OR 97477-6507
Phone number: 541-359-8781
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