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1194048371
TAJUANA L WADE
PORTLAND, OR
NPI
1194048371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
TAJUANA L WADE MA
4925 N ALBINA AVE
PORTLAND, OR 97217-2609
Phone number: 503-548-4922
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Mailing Address
TAJUANA L WADE MA
4925 N ALBINA AVE
PORTLAND, OR 97217-2609
Phone number: 503-548-4922
Copy
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