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1134510316
MARLYS ANN PETERSEN
PORTLAND, OR
NPI
1134510316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
-- MARLYS ANN PETERSEN MA
8325 SW 61ST AVE
PORTLAND, OR 97219-3109
Phone number: 503-867-9913
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Mailing Address
-- MARLYS ANN PETERSEN MA
PO BOX 80524 SW PICASSO PLACE
PORTLAND, OR 97280-1524
Phone number: 503-867-9913
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