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1679042568
ELIZABETH LEBOURVEAU
PORTLAND, OR
NPI
1679042568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
ELIZABETH LEBOURVEAU
1507 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number: 503-258-4555
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Mailing Address
ELIZABETH LEBOURVEAU
1507 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number:
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