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1386371664
STACIE GIESE
TIGARD, OR
NPI
1386371664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R8408)
Enumeration Date
2022-08-05
Last Update Date
2023-07-17
Business Address
STACIE GIESE
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223-9058
Phone number: 971-330-9336
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Mailing Address
STACIE GIESE
17390 SW ROSE PETAL LN APT 203
BEAVERTON, OR 97003-7653
Phone number: 971-207-3293
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