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1386003168
POLLY GRAVELY
PORTLAND, OR
NPI
1386003168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C4602)
Enumeration Date
2016-02-22
Last Update Date
2021-06-08
Business Address
POLLY GRAVELY M.S., LPC
5319 SW WESTGATE DR STE 246
PORTLAND, OR 97221-2434
Phone number: 503-388-5710
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Mailing Address
POLLY GRAVELY M.S., LPC
4028 SW 53RD PL
PORTLAND, OR 97221-2015
Phone number: 503-310-7472
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