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1750747341
ALICIA LEE
PORTLAND, OR
NPI
1750747341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-01-12
Last Update Date
2016-09-29
Business Address
-- ALICIA LEE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
-- ALICIA LEE
14600 NW CORNELL ROAD
PORTLAND, OR 97229
Phone number: 503-645-3581
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