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1154593713
HEATHER JEAN MAU
GRESHAM, OR
NPI
1154593713
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Former Name
HEATHER JEAN WITHERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-24
Last Update Date
2008-03-24
Business Address
Mrs. HEATHER JEAN MAU
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
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Mailing Address
Mrs. HEATHER JEAN MAU
17400 SE 422ND AVE
SANDY, OR 97055-6729
Phone number: 503-929-8184
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