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Individual

SAVANNAH DAWN STAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRM-I

Contact information

Practice address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
(541) 272-5048
Mailing address
119 N MAIN ST APT 1, TOLEDO, OR 97391-1552

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-496
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
THW000105645
OR
Enumeration date
10/15/2021
Last updated
10/15/2021
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