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1184103327
EMILY LEANDRA ELAINE LUCAS
BEAVERTON, OR
NPI
1184103327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-08-08
Last Update Date
2023-04-26
Business Address
EMILY LEANDRA ELAINE LUCAS
4537 SW 96TH AVE
BEAVERTON, OR 97005-3329
Phone number: 503-376-9520
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Mailing Address
EMILY LEANDRA ELAINE LUCAS
14300 SW GOLD COAST TER
TIGARD, OR 97224-5260
Phone number: 503-857-5764
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