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1316111404
LAURIE LOUISE CRANDALL-BASS
PORTLAND, OR
NPI
1316111404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-18
Last Update Date
2009-11-12
Business Address
Ms. LAURIE LOUISE CRANDALL-BASS MA
2410 SE 121ST AVE #216
PORTLAND, OR 97216-4066
Phone number: 503-544-4402
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Mailing Address
Ms. LAURIE LOUISE CRANDALL-BASS MA
3424 NE BRYCE ST
PORTLAND, OR 97212
Phone number: 503-544-4402
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