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1558649574
SCOTT ELLISON FITZWATER
CLACKAMAS, OR
NPI
1558649574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1700)
Enumeration Date
2011-07-25
Last Update Date
2024-11-19
Business Address
SCOTT ELLISON FITZWATER LPC CADC III
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015-6800
Phone number: 503-740-1971
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Mailing Address
SCOTT ELLISON FITZWATER LPC CADC III
10117 SE SUNNYSIDE RD # F1217
CLACKAMAS, OR 97015-7708
Phone number: 503-740-1971
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