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1659538189
ELIZABETH FRANCES WALLACE
PORTLAND, OR
NPI
1659538189
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Former Name
ELIZABETH FRANCES JACOB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2083)
Enumeration Date
2008-05-21
Last Update Date
2021-12-04
Business Address
Mrs. ELIZABETH FRANCES WALLACE MA, LPC
6360 SW MERLIN CT
PORTLAND, OR 97219-4942
Phone number: 503-317-2498
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Mailing Address
Mrs. ELIZABETH FRANCES WALLACE MA, LPC
6360 SW MERLIN CT
PORTLAND, OR 97219-4942
Phone number: 503-317-2498
Copy
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