Individual
MS. MARYJO - WECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE, SUITE 530, SALEM, OR 97301-1882
(503) 881-8250
(503) 393-3135
Mailing address
4715 OAKLEAF CT NE, SALEM, OR 97305-3389
(503) 463-1148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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