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1790457612
CORRISA MALAT
PORTLAND, OR
NPI
1790457612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-09-29
Last Update Date
2023-10-19
Business Address
CORRISA MALAT
1715 SE 32ND PL
PORTLAND, OR 97214-5016
Phone number: 503-234-9591
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Mailing Address
CORRISA MALAT
1715 SE 32ND PL
PORTLAND, OR 97214-5016
Phone number: 503-234-9591
Copy
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