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1124736905
STUART MALKIN
LAKE OSWEGO, OR
NPI
1124736905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5940)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
STUART MALKIN LPC
1625 MEADOWS DR
LAKE OSWEGO, OR 97034-6123
Phone number: 971-266-1693
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Mailing Address
STUART MALKIN LPC
1625 MEADOWS DR
LAKE OSWEGO, OR 97034-6123
Phone number: 971-266-1693
Copy
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