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1821554056
AUDREY MOHONNA STANFIELD
PORTLAND, OR
NPI
1821554056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
AUDREY MOHONNA STANFIELD
7916 SE FOSTER RD
PORTLAND, OR 97206-4289
Phone number: 503-374-3229
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Mailing Address
AUDREY MOHONNA STANFIELD
PO BOX 16756
PORTLAND, OR 97292-0756
Phone number: 506-374-3229
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