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1487968871
CARISSA ELOISE BAKKER
ALOHA, OR
NPI
1487968871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-07-28
Last Update Date
2011-12-02
Business Address
-- CARISSA ELOISE BAKKER MA
4585 SW 185TH AVE
ALOHA, OR 97007-1557
Phone number: 503-758-9863
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Mailing Address
-- CARISSA ELOISE BAKKER MA
4585 SW 185TH AVE
ALOHA, OR 97007-1557
Phone number: 503-758-9863
Copy
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