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1215068523
STACY L YOUNG
PORTLAND, OR
NPI
1215068523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR L2708)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- STACY L YOUNG L.C.S.W.
10373 NE HANCOCK ST STE 220
PORTLAND, OR 97220-3873
Phone number: 503-490-9288
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Mailing Address
-- STACY L YOUNG L.C.S.W.
PO BOX 66553
PORTLAND, OR 97290-6553
Phone number: 503-490-9288
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