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1013205780
LAURIE ANNE RICKEN
GRESHAM, OR
NPI
1013205780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-15
Last Update Date
2012-07-03
Business Address
-- LAURIE ANNE RICKEN B.A.
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
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Mailing Address
-- LAURIE ANNE RICKEN B.A.
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
Copy
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