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1295003069
LORAINE GISELE MADIAN
CAMAS, WA
NPI
1295003069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH 60239321)
Enumeration Date
2011-12-08
Last Update Date
2015-06-02
Business Address
-- LORAINE GISELE MADIAN LMHC
732 NE 2ND AVE
CAMAS, WA 98607-1665
Phone number: 541-490-1786
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Mailing Address
-- LORAINE GISELE MADIAN LMHC
PO BOX 466
CAMAS, WA 98607-0466
Phone number: 541-490-1786
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