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1699310888
HEATHER LAVELLE PORCH
JASPER, OR
NPI
1699310888
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Former Name
HEATHER LAVELLE PATTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
HEATHER LAVELLE PORCH BSW
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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Mailing Address
HEATHER LAVELLE PORCH BSW
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Copy
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