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1689344590
LAKEN WANZENRIED
BEAVERTON, OR
NPI
1689344590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11253)
Enumeration Date
2021-09-14
Last Update Date
2024-03-12
Business Address
LAKEN WANZENRIED LCSW
15950 SW MILLIKAN WAY
BEAVERTON, OR 97003-5170
Phone number: 503-646-0161
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Mailing Address
LAKEN WANZENRIED LCSW
800 SW 13TH AVE
PORTLAND, OR 97205-1999
Phone number: 503-221-0161
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