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1396407458
ALICIA SIMONE
PORTLAND, OR
NPI
1396407458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5094)
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
ALICIA SIMONE M.S., MFT Associate
510 SW 3RD AVE STE 200
PORTLAND, OR 97204-2507
Phone number: 503-512-0958
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Mailing Address
ALICIA SIMONE M.S., MFT Associate
6312 SW CAPITOL HWY # 245
PORTLAND, OR 97239-1938
Phone number: 503-512-0958
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