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1841634425
STEPHEN VINCENT LARSEN
NEWPORT, OR
NPI
1841634425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-25
Last Update Date
2017-01-19
Business Address
-- STEPHEN VINCENT LARSEN QMHP, MS
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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Mailing Address
-- STEPHEN VINCENT LARSEN QMHP, MS
720 SW 6TH ST
NEWPORT, OR 97365-5037
Phone number: 503-886-9475
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