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1437133584
JONNIE MCRAE VANDERZANDEN
PORTLAND, OR
NPI
1437133584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C1017)
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
Business Address
Mrs. JONNIE MCRAE VANDERZANDEN LPC
10490 SW EASTRIDGE ST #110C
PORTLAND, OR 97225-5030
Phone number: 503-292-2780
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Mailing Address
Mrs. JONNIE MCRAE VANDERZANDEN LPC
10490 SW EASTRIDGE ST #110C
PORTLAND, OR 97225-5030
Phone number: 503-292-2780
Copy
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