QUINN ELLE LAKE

TIGARD, OR
NPI1184216293
Former NameQUINN ELLE KRATOVIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7398)
Enumeration Date2021-02-09
Last Update Date2021-02-09
Business Address
Mrs. QUINN ELLE LAKE LCSW
12008 SW GARDEN PL
TIGARD, OR 97223-8263
Phone number: 503-352-9608
Mailing Address
Mrs. QUINN ELLE LAKE LCSW
8623 SW HOLLY LN UNIT 707
WILSONVILLE, OR 97070-8645
Phone number:
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