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1003260571
DESIREE DAWN STANG
PORTLAND, OR
NPI
1003260571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-20
Last Update Date
2019-01-27
Business Address
DESIREE DAWN STANG LPC Intern, CADC I
2545 NE FLANDERS ST
PORTLAND, OR 97232-3139
Phone number: 503-235-3546
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Mailing Address
DESIREE DAWN STANG LPC Intern, CADC I
2545 NE FLANDERS ST
PORTLAND, OR 97232-3139
Phone number: 503-235-3546
Copy
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