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1053442707
SOUA LY MOUA
GRESHAM, OR
NPI
1053442707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC50724)
Enumeration Date
2007-03-07
Last Update Date
2020-12-17
Business Address
SOUA LY MOUA
330 NE GREENWAY DR
GRESHAM, OR 97030-1702
Phone number: 562-644-4413
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Mailing Address
SOUA LY MOUA
330 NE GREENWAY DR
GRESHAM, OR 97030-1702
Phone number: 562-644-4413
Copy
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