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1063281814
DIANA MARIE FAHEY
PORTLAND, OR
NPI
1063281814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR T-23-3367)
Enumeration Date
2023-12-21
Last Update Date
2023-12-21
Business Address
DIANA MARIE FAHEY CADC-R
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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Mailing Address
DIANA MARIE FAHEY CADC-R
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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