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1235513847
CARINA MARISCAL DIAZ
PORTLAND, OR
NPI
1235513847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-13
Last Update Date
2018-03-17
Business Address
CARINA MARISCAL DIAZ MS
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
CARINA MARISCAL DIAZ MS
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Copy
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