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Individual

STACIE LEAH DRUMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 315-8646
Mailing address
2154 HOLLYWOOD DR NE, SALEM, OR 97305-1837
(503) 949-3306

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OR

Other

Enumeration date
03/12/2012
Last updated
03/13/2012
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