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1730449992
FELICIA MARIA SMITH
PORTLAND, OR
NPI
1730449992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-05-22
Last Update Date
2015-08-24
Business Address
Miss FELICIA MARIA SMITH
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
Miss FELICIA MARIA SMITH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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