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1407364466
LEVI THOMAS MEALUE
TIGARD, OR
NPI
1407364466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 1289510)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
LEVI THOMAS MEALUE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
LEVI THOMAS MEALUE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Copy
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