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1821679432
ELLY JOHANSON REDFORD
VANCOUVER, WA
NPI
1821679432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
ELLY JOHANSON REDFORD
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-334-5346
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Mailing Address
ELLY JOHANSON REDFORD
4794 SE ADA LN
MILWAUKIE, OR 97222-5372
Phone number: 360-334-5346
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