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1649641929
JENNIFER L MATHISEN
THE DALLES, OR
NPI
1649641929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-13
Last Update Date
2024-01-25
Business Address
JENNIFER L MATHISEN
500 WASHINGTON ST STE B
THE DALLES, OR 97058-2217
Phone number: 541-340-0949
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Mailing Address
JENNIFER L MATHISEN
1407 E 21ST ST
THE DALLES, OR 97058-3070
Phone number: 541-340-0949
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