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Individual

DEBORAH HARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
200 HAWTHORNE AVE SE STE A130, SALEM, OR 97301-0074
(541) 900-4285
Mailing address
4653 LISA ST NE, SALEM, OR 97305-2214
(503) 383-2521

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10393114
OR
101YM0800X
Mental Health Counselor
Primary
R6651
OR

Other

Enumeration date
06/13/2007
Last updated
01/25/2021
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