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1194258681
LEAH OURSO
PORTLAND, OR
NPI
1194258681
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Former Name
LEAH KENNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- LEAH OURSO MA
2402 SE MORRISON ST
PORTLAND, OR 97214-2828
Phone number: 850-524-2052
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Mailing Address
-- LEAH OURSO MA
2402 SE MORRISON STREET
PORTLAND, OR 97214
Phone number:
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