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1093145484
HOLLY LASSEN
LA PINE, OR
NPI
1093145484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-11-20
Last Update Date
2018-05-29
Business Address
HOLLY LASSEN MFTT, QMHP
51530 HUNTINGTON RD STE 5
LA PINE, OR 97739
Phone number: 541-728-0062
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Mailing Address
HOLLY LASSEN MFTT, QMHP
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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