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1619401353
ELLIOT WITHERSPOON
PORTLAND, OR
NPI
1619401353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4226)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
-- ELLIOT WITHERSPOON LPC
1920 N KILLINGSWORTH ST
PORTLAND, OR 97217-4437
Phone number: 503-475-9135
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Mailing Address
-- ELLIOT WITHERSPOON LPC
1920 N KILLINGSWORTH ST
PORTLAND, OR 97217-4437
Phone number: 503-475-9135
Copy
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