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1750843934
GEOVANNA ALEXIS CARRASCO
TIGARD, OR
NPI
1750843934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-04-04
Last Update Date
2021-07-07
Business Address
GEOVANNA ALEXIS CARRASCO
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
GEOVANNA ALEXIS CARRASCO
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Copy
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