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Individual

ALEXANDRA DIANNE DWORAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
195 W 12TH AVE, EUGENE, OR 97401-3408
(541) 762-4300
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500728962
OR
Enumeration date
06/15/2017
Last updated
11/13/2017
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