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1164158903
WENDY LEE MIKKELSEN
DALLAS, OR
NPI
1164158903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
WENDY LEE MIKKELSEN
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
WENDY LEE MIKKELSEN
294 NW REED LN
DALLAS, OR 97338-1158
Phone number: 907-660-7042
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