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1750608543
LIESL MIMI FARNSWORTH
BEND, OR
NPI
1750608543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C2915)
Enumeration Date
2010-05-03
Last Update Date
2021-05-07
Business Address
Dr. LIESL MIMI FARNSWORTH PhD
552 NW SAGINAW AVE # 2
BEND, OR 97703-1120
Phone number: 541-388-1261
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Mailing Address
Dr. LIESL MIMI FARNSWORTH PhD
552 NW SAGINAW AVE # 2
BEND, OR 97703-1120
Phone number: 541-388-1261
Copy
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