Individual
CONNIE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
Mailing address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2014
Last updated
04/29/2014
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