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Organization
SARAH SORIC THERAPY LLC
Active
Organization
SARAH SORIC THERAPY LLC
Active
Other names
Dynamic Self Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN MCCOLLUM (SUPERVISOR)
(541) 621-2698
Entity
Organization
Contact information
Practice address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 829-1199
(833) 770-4969
Mailing address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 791-7193
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500722423
—
OR
Enumeration date
01/30/2021
Last updated
01/05/2024
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