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1134464639
STEPHANIE BALLMAN
PORTLAND, OR
NPI
1134464639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2012-12-10
Last Update Date
2013-11-07
Business Address
-- STEPHANIE BALLMAN
2375 NW GLISAN ST
PORTLAND, OR 97210-3420
Phone number: 503-243-2236
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Mailing Address
-- STEPHANIE BALLMAN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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