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1790501625
LEAH RAE VAN DUSEN
PORTLAND, OR
NPI
1790501625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-25
Last Update Date
2024-11-25
Business Address
LEAH RAE VAN DUSEN CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 971-427-4429
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Mailing Address
LEAH RAE VAN DUSEN CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number:
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