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Individual

MISS SUSAN MARIE KOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
201 W MAIN ST STE 2B, MEDFORD, OR 97501-2744
(541) 779-2393
(541) 779-3317
Mailing address
201 W MAIN ST STE 2B, MEDFORD, OR 97501-2744
(541) 779-2393
(541) 779-3317

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/18/2011
Last updated
08/18/2011
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