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1043549207
DANIEL STEPHEN THOMA
PORTLAND, OR
NPI
1043549207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C1140)
Enumeration Date
2009-12-17
Last Update Date
2009-12-17
Business Address
Mr. DANIEL STEPHEN THOMA M.A.
601 SW 2ND AVE
PORTLAND, OR 97204-3229
Phone number: 503-382-5386
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Mailing Address
Mr. DANIEL STEPHEN THOMA M.A.
601 SW 2ND AVE
PORTLAND, OR 97204-3229
Phone number: 503-382-5386
Copy
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