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1205474053
ELISABETH GRACE WISE
NEWBERG, OR
NPI
1205474053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
ELISABETH GRACE WISE M.A., QMHP
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2390
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Mailing Address
ELISABETH GRACE WISE M.A., QMHP
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number:
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