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1598175317
CAROL JEAN GRAVEN
PORTLAND, OR
NPI
1598175317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-03-23)
Enumeration Date
2014-05-01
Last Update Date
2014-05-01
Business Address
-- CAROL JEAN GRAVEN CADC1
3945 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5241
Phone number: 503-839-9462
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Mailing Address
-- CAROL JEAN GRAVEN CADC1
3945 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5241
Phone number: 503-839-9462
Copy
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