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1104599836
MIKAYLA QUACKENBUSH
GRESHAM, OR
NPI
1104599836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
MIKAYLA QUACKENBUSH QMHA, COUNSELOR II
1201 NE 8TH ST APT 302
GRESHAM, OR 97030-5762
Phone number: 503-320-5182
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Mailing Address
MIKAYLA QUACKENBUSH QMHA, COUNSELOR II
1201 NE 8TH ST APT 302
GRESHAM, OR 97030-5762
Phone number: 503-320-5182
Copy
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