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1316781396
LAUREN TSAILE SIMMONS
PORTLAND, OR
NPI
1316781396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
LAUREN TSAILE SIMMONS
12505 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-760-8300
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Mailing Address
LAUREN TSAILE SIMMONS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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