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1306437918
STEFANI SKIDMORE
BEAVERTON, OR
NPI
1306437918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5603)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
STEFANI SKIDMORE MA, LPC-Intern
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005-4791
Phone number: 541-631-8251
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Mailing Address
STEFANI SKIDMORE MA, LPC-Intern
80 NE 14TH AVE APT 621
PORTLAND, OR 97232-3570
Phone number: 541-631-8251
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