Individual
MIRANDA QUINN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(530) 440-1201
Mailing address
PO BOX 857, SEASIDE, OR 97138-0857
(530) 440-1201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 60630
CA
Other
Enumeration date
01/07/2011
Last updated
10/02/2023
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