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1205378858
LILYAN CHARLOTTE RUSSEL SMITH-MOORE
PORTLAND, OR
NPI
1205378858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C4955)
Enumeration Date
2016-11-14
Last Update Date
2021-03-11
Business Address
LILYAN CHARLOTTE RUSSEL SMITH-MOORE M.Ed.
101 SW MADISON ST. UNIT 9152
PORTLAND, OR 97204-3264
Phone number: 971-373-4497
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Mailing Address
LILYAN CHARLOTTE RUSSEL SMITH-MOORE M.Ed.
PO BOX 9152
PORTLAND, OR 97207-9152
Phone number: 971-373-4497
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