Individual
ANTONIA ESMARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
75335 BLUE MOUNTAIN LN, COTTAGE GROVE, OR 97424-9490
(541) 942-0199
Mailing address
75335 BLUE MOUNTAIN LN, COTTAGE GROVE, OR 97424-9490
(541) 942-0199
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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