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1467819904
MARIKO FUKUYAMA CLARK
PORTLAND, OR
NPI
1467819904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60601506)
Enumeration Date
2016-01-27
Last Update Date
2016-01-27
Business Address
Mrs. MARIKO FUKUYAMA CLARK LMHC
3706 SW BEAVERTON AVE
PORTLAND, OR 97239-1506
Phone number: 503-961-3829
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Mailing Address
Mrs. MARIKO FUKUYAMA CLARK LMHC
3706 SW BEAVERTON AVE
PORTLAND, OR 97239-1506
Phone number: 503-961-3829
Copy
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