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1366127920
DEJA SVASTISALEE
PORTLAND, OR
NPI
1366127920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-20
Last Update Date
2024-01-23
Business Address
DEJA SVASTISALEE M.Ed.
5014 NE 15TH AVE
PORTLAND, OR 97211-4406
Phone number: 503-444-8214
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Mailing Address
DEJA SVASTISALEE M.Ed.
PO BOX 20127
PORTLAND, OR 97294-0127
Phone number: 503-444-8214
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