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1164780607
ERICA BRITTANY PECK
PORTLAND, OR
NPI
1164780607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-02
Last Update Date
2016-09-12
Business Address
-- ERICA BRITTANY PECK QMHP
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- ERICA BRITTANY PECK QMHP
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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