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1427452374
LISA KIRSTEN MCELLIGOTT
BEAVERTON, OR
NPI
1427452374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C3573)
Enumeration Date
2014-10-21
Last Update Date
2014-10-21
Business Address
-- LISA KIRSTEN MCELLIGOTT LPC
16116 NW TELSHIRE DR
BEAVERTON, OR 97006-7712
Phone number: 503-531-9503
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Mailing Address
-- LISA KIRSTEN MCELLIGOTT LPC
16116 NW TELSHIRE DR
BEAVERTON, OR 97006-7712
Phone number: 503-531-9503
Copy
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