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1225885767
ILISA NORMAN
PORTLAND, OR
NPI
1225885767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
ILISA NORMAN
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205-1945
Phone number: 972-835-3563
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Mailing Address
ILISA NORMAN
2209 NW EVERETT ST APT 408
PORTLAND, OR 97210-5507
Phone number:
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