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1073219077
MELISSA MIRACLE
TUALATIN, OR
NPI
1073219077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3456)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
MELISSA MIRACLE LPC
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062-8607
Phone number: 503-612-1000
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Mailing Address
MELISSA MIRACLE LPC
29304 SW BROWN RD
WILSONVILLE, OR 97070-3008
Phone number:
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