MARYJANE WILT

PORTLAND, OR
NPI1003106881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C2002)
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
-- MARYJANE WILT LPC
212 NE 80TH AVE
PORTLAND, OR 97213-7016
Phone number: 971-255-1559
Mailing Address
-- MARYJANE WILT LPC
212 NE 80TH AVE
PORTLAND, OR 97213-7016
Phone number: 971-255-1559
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