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1306493739
AMY LYNN WIRTZ
PORTLAND, OR
NPI
1306493739
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Former Name
AMYL LYNN CROSSMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
AMY LYNN WIRTZ LCSW
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
AMY LYNN WIRTZ LCSW
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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