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1518005206
STACIE CATHERINE LARSON
CLACKAMAS, OR
NPI
1518005206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: OR C3631)
Enumeration Date
2007-02-02
Last Update Date
2017-11-12
Business Address
STACIE CATHERINE LARSON LPC
9123 SE SAINT HELENS ST STE 270B
CLACKAMAS, OR 97015-6801
Phone number: 971-285-5426
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Mailing Address
STACIE CATHERINE LARSON LPC
9123 SE SAINT HELENS ST STE 270B
CLACKAMAS, OR 97015-6801
Phone number: 971-285-5426
Copy
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