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Individual

MS. DONNA LOUISE JEZIERSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2425 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 566-2132
Mailing address
1564 NE 66TH AVE APT 221, PORTLAND, OR 97213-4859
(503) 254-6854

Taxonomy

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

Other

Enumeration date
12/18/2006
Last updated
07/08/2007
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