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1316420979
ALEXIS WONG
GRESHAM, OR
NPI
1316420979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
Mrs. ALEXIS WONG MS, NCC
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-666-3808
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Mailing Address
Mrs. ALEXIS WONG MS, NCC
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 402-616-5099
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