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1861030561
ALIDA A HOLT
PORTLAND, OR
NPI
1861030561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
ALIDA A HOLT
1818 SE DIVISION ST
PORTLAND, OR 97202-1159
Phone number: 503-238-0705
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Mailing Address
ALIDA A HOLT
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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