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1154944890
ERICA CLARK
TIGARD, OR
NPI
1154944890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-28
Last Update Date
2020-08-17
Business Address
ERICA CLARK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
ERICA CLARK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Copy
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