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1164605499
ELISSA KATHLEEN MANTALAS
PORTLAND, OR
NPI
1164605499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
-- ELISSA KATHLEEN MANTALAS MA
2410 SE 121ST AVE STE 216
PORTLAND, OR 97216-4085
Phone number: 971-570-4721
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Mailing Address
-- ELISSA KATHLEEN MANTALAS MA
2410 SE 121ST AVE STE 216
PORTLAND, OR 97216-4085
Phone number:
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