STACY LYNN WIRTH

PORTLAND, OR
NPI1356788681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C2984)
Enumeration Date2013-05-28
Last Update Date2013-05-28
Business Address
Miss STACY LYNN WIRTH M.A. L.P.C.
516 SE MORRISON ST SUITE 305
PORTLAND, OR 97214-2327
Phone number: 503-593-6835
Mailing Address
Miss STACY LYNN WIRTH M.A. L.P.C.
4216 SE 73RD AVE
PORTLAND, OR 97206-3406
Phone number: 503-929-3231
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