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1700268067
LAUREL FUSON-LANG
PORTLAND, OR
NPI
1700268067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 3512)
Enumeration Date
2015-06-23
Last Update Date
2023-11-27
Business Address
LAUREL FUSON-LANG PsyD
905 SE 14TH AVE
PORTLAND, OR 97214-2569
Phone number: 503-622-8964
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Mailing Address
LAUREL FUSON-LANG PsyD
905 SE 14TH AVE
PORTLAND, OR 97214-2569
Phone number: 503-622-8964
Copy
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