Individual
AMY NICOLE WARNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 OLIVE ST, EUGENE, OR 97405-3397
(503) 778-0323
Mailing address
2906 OLIVE ST, EUGENE, OR 97405-3397
(503) 778-0323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
10/11/2012
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