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1164159513
AUDREY CONNOR
PORTLAND, OR
NPI
1164159513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61597062)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-05
Last Update Date
2024-10-03
Business Address
AUDREY CONNOR
8041 E BURNSIDE ST
PORTLAND, OR 97215-1548
Phone number: 503-252-3304
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Mailing Address
AUDREY CONNOR
COLUMBIA WELLNESS PO BOX 1847
LONGVIEW, WA 98632
Phone number: 360-353-9369
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