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1144000621
SHANIQUA BURTON
PORTLAND, OR
NPI
1144000621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-10-03
Last Update Date
2023-12-07
Business Address
SHANIQUA BURTON
17640 NE HALSEY ST
PORTLAND, OR 97230-6733
Phone number: 503-489-5045
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Mailing Address
SHANIQUA BURTON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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