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1497461073
SUSAN BONNER
PORTLAND, OR
NPI
1497461073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
SUSAN BONNER
4038 SE 73RD AVE
PORTLAND, OR 97206-3402
Phone number: 413-561-3601
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Mailing Address
SUSAN BONNER
4038 SE 73RD AVE
PORTLAND, OR 97206-3402
Phone number: 413-561-3601
Copy
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