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1174040588
THERESA DANIELE HOLLOWAY
TIGARD, OR
NPI
1174040588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
THERESA DANIELE HOLLOWAY
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-501-5322
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Mailing Address
THERESA DANIELE HOLLOWAY
14201 E BURNSIDE ST
PORTLAND, OR 97233-1884
Phone number: 707-205-6826
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