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1518359868
MANDA LOUISE CARMEN LYONS
PORTLAND, OR
NPI
1518359868
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Former Name
MANDA LOUISE CARMEN HATCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-02-24
Last Update Date
2020-01-27
Business Address
MANDA LOUISE CARMEN LYONS BSW
6430 SE 66TH AVE A
PORTLAND, OR 97206-6620
Phone number: 503-309-9089
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Mailing Address
MANDA LOUISE CARMEN LYONS BSW
55 NE GRAND AVE
PORTLAND, OR 97232-2968
Phone number: 971-230-7563
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