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1598515280
MIA LISETTE KOENIG
PORTLAND, OR
NPI
1598515280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR R8727)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
MIA LISETTE KOENIG MA
1641 NE PRESCOTT ST
PORTLAND, OR 97211-5155
Phone number: 650-576-7611
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Mailing Address
MIA LISETTE KOENIG MA
1641 NE PRESCOTT ST
PORTLAND, OR 97211-5155
Phone number:
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