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1831972546
CARLY RAYNE CLARK
OREGON CITY, OR
NPI
1831972546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C3778)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
CARLY RAYNE CLARK LPC
15363 LODER RD
OREGON CITY, OR 97045-9092
Phone number: 503-705-7912
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Mailing Address
CARLY RAYNE CLARK LPC
15363 LODER RD
OREGON CITY, OR 97045-9092
Phone number: 503-705-7912
Copy
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