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1831285592
VICTORIA ELLEN LATHOS
CORVALLIS, OR
NPI
1831285592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC37678)
Enumeration Date
2006-10-04
Last Update Date
2016-05-15
Business Address
-- VICTORIA ELLEN LATHOS
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
-- VICTORIA ELLEN LATHOS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 541-758-5900
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