Individual
STANLEE MENNITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE, SALEM, OR 97301-0198
(602) 359-4477
Mailing address
4781 WB POST DR NE, SALEM, OR 97305-3154
(602) 359-4477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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