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1710540869
KASEY M LIX
PORTLAND, OR
NPI
1710540869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5121)
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
KASEY M LIX LPC Intern R5121
948 NE 102ND AVE STE 101
PORTLAND, OR 97220-4064
Phone number: 503-257-0381
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Mailing Address
KASEY M LIX LPC Intern R5121
10305 SE BELL AVE
MILWAUKIE, OR 97222-2230
Phone number: 503-267-1761
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