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1144851445
LORRIE E MOSBERGEN
PORTLAND, OR
NPI
1144851445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 17-08-06)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
LORRIE E MOSBERGEN CADC I, CRM
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number: 503-762-3130
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Mailing Address
LORRIE E MOSBERGEN CADC I, CRM
2500 MAITLAND CENTER PKWY STE 250
MAITLAND, FL 32751-4174
Phone number: 407-351-7080
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