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1407586829
DANIEL HAVILAND HALLOCK
TIGARD, OR
NPI
1407586829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
DANIEL HAVILAND HALLOCK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
DANIEL HAVILAND HALLOCK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Copy
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