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Individual

LAURA MARIE CASTLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., QMHP

Contact information

Practice address
2645 PORTLAND RD NE, STE. 120, SALEM, OR 97301-0198
(503) 390-5637
Mailing address
2645 PORTLAND RD NE, STE. 120, SALEM, OR 97301-0198
(503) 390-5637

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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