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1386164572
ELLIE ROSE ANTICO
HILLSBORO, OR
NPI
1386164572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-20
Last Update Date
2022-07-21
Business Address
ELLIE ROSE ANTICO BA
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124-5115
Phone number: 503-560-5822
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Mailing Address
ELLIE ROSE ANTICO BA
4840 SE NAEF RD
MILWAUKIE, OR 97267-4037
Phone number: 415-816-7165
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