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Individual

CHEYENNE MAE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 900-8292
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/09/2019
Last updated
04/09/2024
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