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1023461019
JULIANNE BALTZLEY
PORTLAND, OR
NPI
1023461019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
JULIANNE BALTZLEY
2409 SE 149TH AVENUE
PORTLAND, OR 97233
Phone number: 971-302-6256
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Mailing Address
JULIANNE BALTZLEY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 916-917-8474
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