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1003071721
LYNN A FONTANA
PORTLAND, OR
NPI
1003071721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR T0209)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
LYNN A FONTANA L.M.F.T, PH.D.
8035 NE PRESCOTT ST
PORTLAND, OR 97218-4249
Phone number: 503-223-7719
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Mailing Address
LYNN A FONTANA L.M.F.T, PH.D.
8035 NE PRESCOTT ST
PORTLAND, OR 97218-4249
Phone number: 503-223-7719
Copy
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