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1376838417
LAEL STEPHANIE GORDON
PORTLAND, OR
NPI
1376838417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
-- LAEL STEPHANIE GORDON MSW
326 SE 76TH AVE
PORTLAND, OR 97215-1468
Phone number: 503-255-3198
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Mailing Address
-- LAEL STEPHANIE GORDON MSW
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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