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1619351186
MICHELLE ROSE TERRANOVA
PORTLAND, OR
NPI
1619351186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-15
Last Update Date
2019-12-09
Business Address
Miss MICHELLE ROSE TERRANOVA PRSS
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
Miss MICHELLE ROSE TERRANOVA PRSS
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 303-443-8500
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