STEPHANIE JEAN WEAVER

GRESHAM, OR
NPI1306180245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
STEPHANIE JEAN WEAVER
801 NW WALLULA AVE
GRESHAM, OR 97030-5455
Phone number: 503-726-3740
Mailing Address
STEPHANIE JEAN WEAVER
125 SE 31ST AVE
PORTLAND, OR 97214-1922
Phone number: 503-839-9711
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