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1295164309
MIRANDA BAYARD-CLARK
LAKE OSWEGO, OR
NPI
1295164309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60599847)
Enumeration Date
2013-11-08
Last Update Date
2016-01-15
Business Address
-- MIRANDA BAYARD-CLARK M.A., LPC intern,
15110 BOONES FERRY RD STE 150
LAKE OSWEGO, OR 97035-3486
Phone number: 503-395-7592
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Mailing Address
-- MIRANDA BAYARD-CLARK M.A., LPC intern,
15110 BOONES FERRY RD STE 150
LAKE OSWEGO, OR 97035-3486
Phone number:
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